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NPI Code Detail

MEDICARE: LUCY GALLOWAY

MEDICARE:   LUCY  GALLOWAY
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
1183500000XPharmacist1527AK
2183500000XPharmacistPH 00055607WA

General Provider Information

NPI Number : 1740554138
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCY GALLOWAY
Provider Business Mailing Address
First Line : 13401 OLD GLENN HWY
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-7565
Country : US
Telephone Number : 907-689-4033
Fax Number :
Provider Business Practice Location Address
First Line : 13401 OLD GLENN HWY
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-7565
Country : US
Telephone Number : 907-689-4033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2012
Last Update Date : 03/02/2012

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Directions to “ LUCY GALLOWAY ” Practice Location

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