Provider Demographics
NPI:1174806285
Name:GALENO, JAMES V (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:V
Last Name:GALENO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 BERLIN RD N
Mailing Address - Street 2:
Mailing Address - City:LINDENWOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-1540
Mailing Address - Country:US
Mailing Address - Phone:856-772-5619
Mailing Address - Fax:856-772-1079
Practice Address - Street 1:1001 BERLIN RD N
Practice Address - Street 2:
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-1540
Practice Address - Country:US
Practice Address - Phone:856-772-5619
Practice Address - Fax:856-772-1079
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI024859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist