Individual
MRS. DIANNA LYNN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 683-3261
(918) 680-3695
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 683-3261
(918) 680-3695
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11964
OK
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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