Gallus Wukitsch
Individual provider Active NPI Pharmacist · Slatington, PA
NPI 1831950765 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1831950765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP444161 (PA)
- Practice address
- 5930 Bottom Rd
Slatington, PA 18080-3121 - Phone
- (610) 390-4824
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP444161 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444161 | PA | Yes |
Addresses
Primary practice location
5930 Bottom Rd
Slatington, PA 18080-3121
Mailing address
5930 Bottom Rd
Slatington, PA 18080-3121
Phone (610) 390-4824
Other providers in Slatington, PA
All providers in Slatington, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. 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.