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General NPI Number Information
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NPI Number | 1770792343
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Entity Type | Individual
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Provider Name | ALAN KEITH GALLOWAY PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3728 PHILLIPS HWY SUITE 220
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City | JACKSONVILLE
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State | FL
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Zip | 32207-9300
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Country | US
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Telephone | 904-398-5440
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Fax | 904-398-5737
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Provider Business Mailing Address
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Address Line | 398 SAINT JOHNS GOLF DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-1080
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Country | US
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Telephone | 904-827-9493
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2730
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | NP116
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License Number State | FL
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