Provider Demographics
NPI:1710587209
Name:GALVAN, JOSE ADRIAN (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ADRIAN
Last Name:GALVAN
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 SAN DIEGO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-4226
Mailing Address - Country:US
Mailing Address - Phone:956-393-9519
Mailing Address - Fax:
Practice Address - Street 1:2812 S EXPRESSWAY 281
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-5215
Practice Address - Country:US
Practice Address - Phone:956-252-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist