Andria Galloway, RPH
Individual provider Active NPI Pharmacist · Hawkinsville, GA
NPI 1689018277 · NPPES record last updated Apr 25, 2013
Key facts
- NPI
- 1689018277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-023484 (GA)
- Practice address
- 126 Broad St
Hawkinsville, GA 31036-4815 - Phone
- (478) 783-4700
- Fax
- (478) 783-4706
- NPI assigned
- Apr 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-023484 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-023484 | GA | Yes |
Addresses
Primary practice location
126 Broad St
Hawkinsville, GA 31036-4815
Mailing address
126 Broad St
Hawkinsville, GA 31036-4815
Phone (478) 783-4700
Other providers in Hawkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.