Individual
MR. MICHAEL S GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1 OLDE VILLAGE DR, NICHOLASVILLE, KY 40356-8714
(859) 223-4207
Mailing address
1 OLDE VILLAGE DR, NICHOLASVILLE, KY 40356-8714
(859) 223-4207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09989
KY
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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