Provider Demographics
NPI:1679260269
Name:GALANTE, CHANDRA SUZANNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CHANDRA
Middle Name:SUZANNE
Last Name:GALANTE
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 1:200 HERMITAGE RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2823
Mailing Address - Country:US
Mailing Address - Phone:614-940-5359
Mailing Address - Fax:
Practice Address - Street 1:200 HERMITAGE RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2823
Practice Address - Country:US
Practice Address - Phone:614-940-5359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031243851835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty