Individual
DR. KEITH CHARLES GALLUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACY
Contact information
Practice address
100 MONROE ST, ANOKA, MN 55303-2405
(767) 421-5540
(763) 421-9229
Mailing address
8436 TOLEDO AVE N, BROOKLYN PARK, MN 55443-2284
(763) 315-1006
(763) 421-9229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1177615
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1177615
BOARD OF PHARMACY
MN
Enumeration date
07/07/2005
Last updated
07/08/2007
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