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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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