Provider Demographics
NPI:1851837876
Name:GALVAN, PEDRO AMADEO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:AMADEO
Last Name:GALVAN
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 1:704 EASY ST
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-5740
Mailing Address - Country:US
Mailing Address - Phone:956-456-1904
Mailing Address - Fax:
Practice Address - Street 1:1103 MORGAN BLVD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5152
Practice Address - Country:US
Practice Address - Phone:956-440-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist