# GARDA RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GARDA RX LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992970768
- **Authorized official:** MARTIN GARDA RPH (OWNER)
- **Authorized official phone:** (724) 568-4144

## Contact information

- **Practice address:** 1596 HANCOCK AVE, APOLLO, PA 15613-8404
- **Practice address phone:** (724) 568-4144
- **Practice address fax:** (724) 571-7628
- **Mailing address:** 1596 HANCOCK AVE, APOLLO, PA 15613-8404
- **Mailing address phone:** (724) 568-4144
- **Mailing address fax:** (724) 571-7605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP481818 | PA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1021327540002 | — | PA |
| 01 | — | 2082515 | PK | — |