Individual
DANIEL GILLOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 E 5TH ST, EAST LIVERPOOL, OH 43920-3031
(330) 385-0825
Mailing address
104 E 5TH ST, EAST LIVERPOOL, OH 43920-3031
(330) 385-0825
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-0178800
OH
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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