=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356320899
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMANDA L GALINDO RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2006
-----------------------------------------------------
Last Update Date | 08/20/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4755 PASTURE RD
-----------------------------------------------------
City | FALLON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89496-5000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-426-3122
-----------------------------------------------------
Fax | 775-426-3134
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4755 PASTURE RD
-----------------------------------------------------
City | FALLON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89496-5000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-426-3122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 19802
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP041373L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RPH57838
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------