Provider Demographics
NPI:1427073709
Name:GALLAGHER, ROCHELLE L (RPH)
Entity type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:L
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3847 N 161ST AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-8048
Mailing Address - Country:US
Mailing Address - Phone:602-448-3048
Mailing Address - Fax:
Practice Address - Street 1:7909 S HARDY DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1112
Practice Address - Country:US
Practice Address - Phone:800-955-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14445183500000X
NJ14441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist