Provider Demographics
NPI:1154644128
Name:GALLUCCI, DONNA M (RPH, MS)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:GALLUCCI
Suffix:
Gender:F
Credentials:RPH, MS
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Mailing Address - Street 1:98 ALKAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5111
Mailing Address - Country:US
Mailing Address - Phone:914-864-5191
Mailing Address - Fax:914-864-5195
Practice Address - Street 1:845 PALMER AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-2406
Practice Address - Country:US
Practice Address - Phone:914-864-5191
Practice Address - Fax:914-864-5195
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY039464-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist