Individual
DR. AMANDA DAWN GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3631 PETERS CREEK RD NW, ROANOKE, VA 24019-2809
(804) 248-2576
Mailing address
3631 PETERS CREEK RD NW, ROANOKE, VA 24019-2809
(804) 248-2576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208511
VA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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