IndividualActive
Dianna Gilliam, PHARM D
NPI 1609894625 · Pharmacotherapy Pharmacist · Muskogee, OK
Provider details
- NPI number
- 1609894625
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- No
- License
- 11964 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone: (918) 683-3261
Fax: (918) 680-3695
Approximate (ZIP-level) locationGet directions
Mailing address
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.