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Individual

LONI T GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1911 MORELAND DR, KINGSPORT, TN 37663-3018
(423) 239-0679
(423) 239-0673
Mailing address
PO BOX 5429, KINGSPORT, TN 37663-0429
(423) 239-0679
(423) 239-0673

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
7018
NC
183500000X
Pharmacist
Primary
8619
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7018
NC PHARMACIST LICENSE NUMBER
NC
01
8619
TENNESSEE PHARMACIST LICENSE
TN
Enumeration date
04/15/2009
Last updated
02/25/2010
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