Altijana Gallup, PHARMD

NPI #1114200151 in Fox Lake, Illinois

Provider Information

NPI Number: 1114200151
Entity Type: Individual
Name: Altijana Gallup, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 26, 2011
Last Updated: Sep 26, 2011

Practice Location

Address: 61 S ROUTE 12
City: Fox Lake
State: Illinois
ZIP Code: 60020-1750
Phone: (847) 587-8222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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