Individual
NOVA GALLENO IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4714 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4413
(812) 232-8379
Mailing address
4714 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4413
(812) 232-8379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS57315
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26030483A
IN
Other
Enumeration date
11/18/2020
Last updated
06/03/2026
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