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Individual
MR. JOHN H. GALLEGOS
Active
Individual
MR. JOHN H. GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA 42405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA 42405
PHARMACY LICENSE
CA
Enumeration date
08/09/2010
Last updated
05/31/2011
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