Provider Demographics
NPI:1487305314
Name:GALARX LLC
Entity type:Organization
Organization Name:GALARX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBATI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:941-387-4034
Mailing Address - Street 1:1110 N JOSEY LN STE 104
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6144
Mailing Address - Country:US
Mailing Address - Phone:469-900-8034
Mailing Address - Fax:
Practice Address - Street 1:1110 N JOSEY LN STE 104
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6144
Practice Address - Country:US
Practice Address - Phone:469-900-8034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy