Provider Demographics
NPI:1821303678
Name:GALLOWAY, ALLISON (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:GALLOWAY
Suffix:
Gender:M
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 1:100 PARSONAGE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2424
Mailing Address - Country:US
Mailing Address - Phone:201-926-4337
Mailing Address - Fax:732-744-1090
Practice Address - Street 1:100 14TH ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310-1202
Practice Address - Country:US
Practice Address - Phone:201-499-0018
Practice Address - Fax:201-499-0018
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02940700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist