Provider Demographics
NPI:1932790839
Name:GALLO, DARLA ANNETTE
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:ANNETTE
Last Name:GALLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110B OLD YORK RD STE B
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1407
Mailing Address - Country:US
Mailing Address - Phone:267-282-0070
Mailing Address - Fax:267-282-0070
Practice Address - Street 1:8110B OLD YORK RD STE B
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1407
Practice Address - Country:US
Practice Address - Phone:267-282-0070
Practice Address - Fax:267-282-0070
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039516R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist