Gallus, Keith Charles

Gallus, Keith Charles is an individual health care provider with primary practice located at 100 Monroe St , Anoka MN 55303-2405. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gallus, Keith Charles can be contacted via phone (767) 421-5540.

Contact Information

Primary practice address
100 Monroe St Anoka MN 55303-2405
Phone: (767) 421-5540
Fax: (763) 421-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1177615 Montana

Profile Details

NPI number 1801893789
LBN Legal business name Gallus, Keith Charles
Credentials PHARMACY
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801893789 NPPES
Minnesota Other 1177615 BOARD OF PHARMACY

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