Provider Demographics
NPI:1699348417
Name:GALVIN, BRIANNA CHRISTINE (RPH)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:CHRISTINE
Last Name:GALVIN
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 1:201 S MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-1621
Mailing Address - Country:US
Mailing Address - Phone:570-299-5150
Mailing Address - Fax:
Practice Address - Street 1:201 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-1621
Practice Address - Country:US
Practice Address - Phone:570-299-5150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist