MEDICARE: WILLIAM GALSON PHARMD,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	28RI03857800	NJ
2	183500000X	Pharmacist	RP447660	PA

General Provider Information

NPI Number	:	1730706136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM GALSON PHARMD,RPH

Provider Business Mailing Address
First Line	:	6150 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-1423
Country	:	US
Telephone Number	:	215-548-1110
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-1423
Country	:	US
Telephone Number	:	215-548-1110
Fax Number	:

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

Provider Enumeration Date	:	07/01/2020
Last Update Date	:	12/14/2020

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