Active NPIIndividual providerSole proprietor

Gwynetta Gallup

Pharmacist in Southington, Connecticut

NPI Number1316480825
Practice location
724 Queen St, Southington, CT 06489-1505
Fax
860-276-0243
Last updated
December 1, 2016

Gwynetta Gallup is a Pharmacist based in Southington, CT. Gwynetta Gallup practices in Southington, CT. The NPI Number for Gwynetta Gallup is 1316480825 and holds a License No. 8213 (CT). The current practice location address for Gwynetta Gallup is 724 Queen St, Southington, CT 06489-1505 and can be reached out via phone at 860-621-7371 and via fax at 860-276-0243.

Provider Profile Details

NPI Number
1316480825
Provider Name
Gwynetta Gallup
Provider Entity Type
Individual
Gender
Female
Address
724 Queen St, Southington, CT 06489-1505
Phone Number
860-621-7371
Fax Number
860-276-0243
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 1, 2016
Last Update Date
December 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
724 Queen St
Southington, CT 06489-1505
Zip
06489-1505
Phone Number
860-621-7371
Fax Number
860-276-0243
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
724 Queen St
Southington, CT 06489-1505
City
Southington
State
CT
Zip
06489-1505
Phone Number
860-621-7371
Fax Number
860-276-0243

License Information

License Number
8213
License State
CT
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gwynetta Gallup?

The NPI number of Gwynetta Gallup is 1316480825. It was assigned on December 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Gwynetta Gallup?

Gwynetta Gallup is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 8213.

Where does Gwynetta Gallup practice?

The practice location is 724 Queen St, Southington, CT 06489-1505. The office can be reached at 860-621-7371 (phone) or 860-276-0243 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316480825 directly on the NPPES registry website.

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