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General NPI Number Information
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NPI Number | 1114009685
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Entity Type | Organization
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Legal Business Name | GALENS, INC.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 17 SODUS ST
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City | CLYDE
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State | NY
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Zip | 14433-1215
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Country | US
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Telephone | 315-923-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 17 SODUS ST
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City | CLYDE
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State | NY
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Zip | 14433-1215
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Country | US
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Telephone | 315-923-2651
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT MONTEMORANO
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Credential | RPH.
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Telephone | 315-923-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 17327
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License Number State | NY
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