Individual
DR. GARY SHAUN DILLAVOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15 BRENDAN WAY, SUITE 120, GREENVILLE, SC 29615-3562
(864) 254-0251
(864) 254-0241
Mailing address
108 HIGHWAY 28 BYP, ANDERSON, SC 29624-3742
(864) 296-5208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11184
SC
183500000X
Pharmacist
21708
GA
Other
Enumeration date
02/18/2011
Last updated
12/20/2022
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