MEDICARE: DR. DEANNA ROSE GALVEZ PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	50250	TX
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PH60888497	WA

General Provider Information

NPI Number	:	1952680670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANNA ROSE GALVEZ PHARM.D.

Provider Business Mailing Address
First Line	:	6414 FANNIN ST STE G100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6414 FANNIN ST STE G100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1518
Country	:	US
Telephone Number	:	713-704-5182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	01/10/2019

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