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NPI Code Detail

MEDICARE: MICHAELA GALLEGOS PHARMD

MEDICARE: MICHAELA GALLEGOS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00009368NM
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP00009368NM

General Provider Information

NPI Number : 1093320368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA GALLEGOS PHARMD
Provider Business Mailing Address
First Line : 4016 LOUISIANA BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-1447
Country : US
Telephone Number : 505-884-0307
Fax Number : 505-884-3895
Provider Business Practice Location Address
First Line : 4016 LOUISIANA BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-1447
Country : US
Telephone Number : 505-884-0307
Fax Number : 505-884-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2020
Last Update Date : 05/26/2026

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Directions to “ MICHAELA GALLEGOS PHARMD” Practice Location

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