Provider Demographics
NPI:1871728238
Name:GALLO, JOSEPH MICHAEL (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:GALLO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9663
Mailing Address - Country:US
Mailing Address - Phone:717-872-6551
Mailing Address - Fax:
Practice Address - Street 1:360 E WYOMISSING AVE
Practice Address - Street 2:
Practice Address - City:MOHNTON
Practice Address - State:PA
Practice Address - Zip Code:19540-1523
Practice Address - Country:US
Practice Address - Phone:610-743-3132
Practice Address - Fax:610-741-6348
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034693L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist