Provider Demographics
NPI:1639309172
Name:GALLOWAY, SHERRY K (RPH)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:K
Last Name:GALLOWAY
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 1:500 PAMPLICO HWY
Mailing Address - Street 2:PHARMACY
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6012
Mailing Address - Country:US
Mailing Address - Phone:843-292-1505
Mailing Address - Fax:843-292-1510
Practice Address - Street 1:500 PAMPLICO HWY
Practice Address - Street 2:PHARMACY
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6012
Practice Address - Country:US
Practice Address - Phone:843-292-1505
Practice Address - Fax:843-292-1510
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist