Individual
JERRY WAYNE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
524 E DON TYLER AVE, DEWEY, OK 74029-2518
(918) 534-2262
(918) 534-3208
Mailing address
524 E DON TYLER AVE, DEWEY, OK 74029-2518
(918) 534-2262
(918) 534-3208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9061
OK
Other
Enumeration date
02/12/2007
Last updated
04/05/2026
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