Individual
DIAMOND GILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 288-6567
(254) 618-8135
Mailing address
590 MEDICAL CENTER ROAD -PHARMACY DEPT, FORT CAVAZOS, TX 76544
(609) 556-9932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
TX49992
TX
Other
Enumeration date
09/13/2011
Last updated
01/07/2025
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