Healthcare Provider Details

I. General information

NPI: 1437587227
Provider Name (Legal Business Name): ALICIA Z GALVAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N SAN SABA STE 110
SAN ANTONIO TX
78207-3123
US

IV. Provider business mailing address

315 N SAN SABA STE 110
SAN ANTONIO TX
78207-3123
US

V. Phone/Fax

Practice location:
  • Phone: 210-212-7455
  • Fax: 210-212-6643
Mailing address:
  • Phone: 210-212-7455
  • Fax: 210-212-6643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20558
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: