Individual
DIANE GALVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 E. IRELAND RD., SOUTH BEND, IN 46614
(574) 291-0740
Mailing address
1217 E. IRELAND RD., SOUTH BEND, IN 46614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018944A
IN
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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