Healthcare Provider Details

I. General information

NPI: 1720593262
Provider Name (Legal Business Name): JAMIE LYNN GALLASPIE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S MAIN ST
BELLEFONTAINE OH
43311-1702
US

IV. Provider business mailing address

909 FIELDSTONE CT
WAPAKONETA OH
45895-9467
US

V. Phone/Fax

Practice location:
  • Phone: 937-599-2314
  • Fax:
Mailing address:
  • Phone: 419-303-4475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03129774
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: