NPI 1003108630

Travis Maurice Gilliard, RPH

Practitioner Pharmacist Edenton, NC

Practice location

Address: 1316h N Broad St, Edenton, NC 27932-1464
Phone: (252) 482-7491
Fax: (252) 482-0297

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10073 (NC)

Other Pharmacist providers in North Carolina →

Registry record

NPI: 1003108630
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2011
Record last updated: 16 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.