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Individual

DR. JON GALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4601 COMMONWEALTH CENTRE PKWY, MIDLOTHIAN, VA 23112-2639
(804) 639-7395
Mailing address
4601 COMMONWEALTH CENTRE PKWY, MIDLOTHIAN, VA 23112-2639
(804) 639-7395

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209354
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4829682
NABP
VA
01
4829872
NABP
VA
01
4829884
NABP
VA
01
4830205
NABP
VA
01
4830217
NABP
VA
01
4832019
NABP
VA
01
4834176
NABP
VA
01
4838491
NABP
VA
01
4838504
NABP
VA
01
4840446
NABP
VA
01
4840991
NABP
VA
01
4841272
NABP
VA
Enumeration date
07/24/2009
Last updated
10/08/2014
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