Gilliam, Megan

Gilliam, Megan is an individual health care provider with primary practice located at Mile Post 288 Hwy 264 , Polacca AZ 86042. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gilliam, Megan can be contacted via phone (928) 737-6000.

Contact Information

Primary practice address
Mile Post 288 Hwy 264 Polacca AZ 86042
Phone: (928) 737-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 27421 Maryland

Profile Details

NPI number 1316553787
LBN Legal business name Gilliam, Megan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Sep 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316553787 NPPES
Maryland Other 27421 MARYLAND BOARD OF PHARMACY

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