Individual
ALONNA DANAE GALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 SE LOUIS DR, MULVANE, KS 67110-1109
(316) 777-1601
Mailing address
121 W MAIN ST APT B, MULVANE, KS 67110-1764
(316) 734-0271
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
14101295
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-101295
KANSAS
KS
Enumeration date
06/19/2018
Last updated
06/19/2018
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