Individual ProviderTimothy Santino GallegosPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 423-7656PECOS EnrollmentBased on the most recent information from CMS, provider Timothy Santino Gallegos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1376892638Provider TypeIndividualFull NameGallegos, Timothy SantinoTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date9/2/2012Last Updated12/27/2021Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense65679CaliforniaProvider IdentifiersIDDescriptionIssuerID65679DescriptionOtherIssuerREGISTERED PHARMACISTCalifornia