Travis Maurice Gilliard R.PH.

NPI 1003108630 - Pharmacist - 183500000X

NPI Details
NPI 1003108630
Gender Male
Enumeration Date 05/16/2011
Last Updated 05/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1316H N BROAD ST
EDENTON NC, 27932-1464, US
Phone (252) 482-7491
Fax (252) 482-0297
Business Location
1316H N BROAD ST
EDENTON NC, 27932-1464, US
Phone (252) 482-7491
Fax (252) 482-0297
Toxanomy
Taxonomy Code 183500000X
License State North Carolina
License Number 10073
Remove 1003108630 NPI Number
 

According to our database, Mr. Travis Maurice Gilliard R.PH. NPI is 1003108630, taxonomy code is 183500000X and license number is 10073, license state is located at North Carolina. Travis Maurice Gilliard R.PH. physically located at 1316h N Broad St, Edenton NC, 27932-1464. NPI Number Travis Maurice Gilliard R.PH. has the Individual type.

Sponsored links

1003108630 NPI number is provided on an as is basis without warranty of any kind. 1003108630 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Maurice Gilliard R.PH. are for informational purposes only.