Alonna Danae Galvan

Individual provider Active NPI Pharmacy Technician · Mulvane, KS

NPI 1225522683 · NPPES record last updated Jun 19, 2018

Key facts

NPI
1225522683
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
14101295 (KS)
Practice address
1008 SE Louis Dr
Mulvane, KS 67110-1109
Phone
(316) 777-1601
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14101295KSMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 14101295 KS Yes

Addresses

Primary practice location

1008 SE Louis Dr
Mulvane, KS 67110-1109

Mailing address

121 W Main St Apt B
Mulvane, KS 67110-1764
Phone (316) 734-0271

Other identifiers

IdentifierTypeStateIssuer
14-101295OtherKSKANSAS

Other providers in Mulvane, KS

All providers in Mulvane, KS · Pharmacy Technician in Kansas

Sources for this page

Verify at the official NPI Registry.