JACK EDWARD GILLUM

AMARILLO, TX
NPI1760484794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: OK  9175)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
-- JACK EDWARD GILLUM Pharm.D
6010 W AMARILLO BLVD
AMARILLO, TX 79106-1990
Phone number: 806-355-9703
Mailing Address
-- JACK EDWARD GILLUM Pharm.D
4212 VANCE AVE
AMARILLO, TX 79110-3606
Phone number: 806-355-2303