Ethan Bernard Gallery, RPH

NPI #1457519811 in Waco, Texas

Provider Information

NPI Number: 1457519811
Entity Type: Individual
Name: Ethan Bernard Gallery, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 1, 2008
Last Updated: Jun 1, 2008

Practice Location

Address: 4800 MEMORIAL DR
Address 2: ATTN: PHARMACY
City: Waco
State: Texas
ZIP Code: 76711-1329
Phone: (254) 752-6581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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