Provider Demographics
NPI:1720362437
Name:GALAVIZ, VICTORIA ANN (PHARM D)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANN
Last Name:GALAVIZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10718 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-6831
Mailing Address - Country:US
Mailing Address - Phone:210-682-1171
Mailing Address - Fax:
Practice Address - Street 1:10718 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-6831
Practice Address - Country:US
Practice Address - Phone:210-682-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist