Individual
JAMIE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
512 VILLAG LAKE COURT APT # 201, SPRING LAKE, NC 28390
(910) 433-4681
(910) 433-2892
Mailing address
512 VILLAGE LAKE CT APT 201, SPRING LAKE, NC 28390-3461
(910) 433-4681
(910) 433-2892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21676
NC
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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