Individual
MISS DANIELLE LILLIAN GALLUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19926 BROWNSVILLE RD, KNOXVILLE, MD 21758-1009
(240) 818-4615
Mailing address
19926 BROWNSVILLE RD, KNOXVILLE, MD 21758-1009
(240) 818-4615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI01623
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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