Healthcare Provider Details

I. General information

NPI: 1790857571
Provider Name (Legal Business Name): GALEN DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SEMINOLE BLVD STE 100
SEMINOLE FL
33772-2524
US

IV. Provider business mailing address

1007 BELLAMARE TRL
TRINITY FL
34655-4672
US

V. Phone/Fax

Practice location:
  • Phone: 727-527-5778
  • Fax: 727-526-6920
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH18032
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YVONNE K TRAN
Title or Position: DIRECTOR/PARTNER
Credential: PHARM. D
Phone: 727-846-1300