Organization
GALLOWAY PHARMACY INC
Active
Other names
GALLOWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY THOMAS RPH (PIC)
(972) 270-5600
Entity
Organization
Contact information
Practice address
2698 N GALLOWAY AVE, STE 109, MESQUITE, TX 75150-6383
(972) 270-5600
(972) 270-5606
Mailing address
PO BOX 451269, GARLAND, TX 75045-1269
(214) 403-5433
(972) 270-0560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145701
—
TX
01
—
4541961
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/29/2006
Last updated
02/13/2012
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