Provider Demographics
NPI:1194335695
Name:GALIANO, AMANDA KAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:KAY
Last Name:GALIANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHICOT CV
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6352
Mailing Address - Country:US
Mailing Address - Phone:501-227-6115
Mailing Address - Fax:
Practice Address - Street 1:8 CHICOT CV
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6352
Practice Address - Country:US
Practice Address - Phone:501-227-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD105331835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy