DR. Justin Blake Gillum, PHARMD

NPI #1184869497 in Vinton, Virginia

Provider Information

NPI Number: 1184869497
Entity Type: Individual
Name: DR. Justin Blake Gillum, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 16, 2008
Last Updated: Dec 16, 2008

Practice Location

Address: 915 HARDY RD
City: Vinton
State: Virginia
ZIP Code: 24179-3643
Phone: (804) 787-0858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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