Gallos Live Well Pharmacy INC
NPI #1861599797 in Rochelle Park, New Jersey
Provider Information
- NPI Number
- 1861599797
- Entity Type
- Organization
- Organization Name
- Gallos Live Well Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Nov 16, 2016
Practice Location
- Address
- 192 ROCHELLE AVE
- City
- Rochelle Park
- State
- New Jersey
- ZIP Code
- 07662-4111
- Phone
- (201) 843-1350
Authorized Official
- Name
- JOSEPH KUBULAK
- Title
- PRESIDENT
- Phone
- (201) 843-1350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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