Individual
MR. GERALD LAWRENCE GALLIGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 6TH AVE, TACOMA, WA 98406-5405
(253) 761-1248
(253) 761-7462
Mailing address
40502 TIMBERLINE DRIVE E, 3601 6TH AVE, TACOMA, WA 98406
(360) 832-8126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00017283
LICENSE NUMBER
WA
Enumeration date
12/20/2005
Last updated
07/08/2007
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