Healthcare Provider Details

I. General information

NPI: 1467932194
Provider Name (Legal Business Name): JESSICA ANN GALVAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. JESSICA ANN FRANK

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 EAGLE DR
LOVELAND CO
80537-8058
US

IV. Provider business mailing address

1275 EAGLE DR
LOVELAND CO
80537-8058
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-2048
  • Fax: 970-663-1997
Mailing address:
  • Phone: 970-663-2048
  • Fax: 970-663-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0023658
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4087
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: