Healthcare Provider Details

I. General information

NPI: 1841714540
Provider Name (Legal Business Name): ERIC DAVID GALVES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 08/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 MONTGOMERY BLVD NE
ALBUQUERQUE NM
87111-2677
US

IV. Provider business mailing address

7405 ANKARA RD NE
ALBUQUERQUE NM
87122-3388
US

V. Phone/Fax

Practice location:
  • Phone: 505-298-7477
  • Fax:
Mailing address:
  • Phone: 505-239-1238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00008761
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: