Individual
MS. JACY LYNN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
711 MARTIN LUTHER KING JR BLVD, ASHLAND, KY 41101
(606) 324-7119
(606) 326-0764
Mailing address
711 MARTIN LUTHER KING JR BLVD, ASHLAND, KY 41101
(606) 324-7119
(606) 326-0764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12245
KY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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