Individual
MR. KENNETH SCOTT GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
780 COMMONWEALTH DR, NORTON, VA 24273-4051
(276) 679-7340
Mailing address
780 COMMONWEALTH DR, NORTON, VA 24273-4051
(276) 679-7340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009388
VA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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