Gillum, Jack Edward
Gillum, Jack Edward is an individual health care provider with primary practice located at 6010 W Amarillo Blvd , Amarillo TX 79106-1990. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Gillum, Jack Edward can be contacted via phone (806) 355-9703.Contact Information
Primary practice address
6010 W Amarillo Blvd
Amarillo TX 79106-1990
Phone: (806) 355-9703
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 9175 | Oklahoma |
Profile Details
NPI number | 1760484794 |
---|---|
LBN Legal business name | Gillum, Jack Edward |
Credentials | PHARM.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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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