Provider Demographics
NPI:1972663425
Name:GALLOWAY, TINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:SCIPIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:737 HUNTINGDON PIKE
Mailing Address - Street 2:GENUARDI'S PHARMACY #4014
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8362
Mailing Address - Country:US
Mailing Address - Phone:215-379-3257
Mailing Address - Fax:215-379-3275
Practice Address - Street 1:737 HUNTINGDON PIKE
Practice Address - Street 2:GENUARDI'S PHARMACY #4014
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8362
Practice Address - Country:US
Practice Address - Phone:215-379-3257
Practice Address - Fax:215-379-3275
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist