Individual
ADAM GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1765 FORT ST, LINCOLN PARK, MI 48146-1901
(313) 928-8638
(313) 928-8947
Mailing address
1765 FORT ST, LINCOLN PARK, MI 48146-1901
(313) 928-8638
(313) 928-8947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039651
MI
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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