MEDICARE: MR. BRIAN GALUZNY RPH.

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
1	183500000X	Pharmacist	03226179	OH

General Provider Information

NPI Number	:	1417780453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN GALUZNY RPH.

Provider Business Mailing Address
First Line	:	120 BRETON DR
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-8910
Country	:	US
Telephone Number	:	330-818-6318
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 BRIGGS DR
Second Line	:
City	:	ONTARIO
State	:	OH
Zip	:	44906-3805
Country	:	US
Telephone Number	:	419-529-8101
Fax Number	:	419-529-9301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	08/23/2024

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