Provider Demographics
NPI:1871810739
Name:GALE, AMY REBECCA (RPH)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:REBECCA
Last Name:GALE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8003 FAIR VIEW LN
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1374
Mailing Address - Country:US
Mailing Address - Phone:610-213-5286
Mailing Address - Fax:
Practice Address - Street 1:5100 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1123
Practice Address - Country:US
Practice Address - Phone:800-227-9666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036899L183500000X
DEA1-0002322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist