Jerry Wayne Gilliland, DPH

NPI #1578605168 in Dewey, Oklahoma

Provider Information

NPI Number: 1578605168
Entity Type: Individual
Name: Jerry Wayne Gilliland, DPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 524 E DON TYLER AVE
City: Dewey
State: Oklahoma
ZIP Code: 74029-2518
Phone: (918) 534-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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Organizations

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