Healthcare Provider Details

I. General information

NPI: 1952176489
Provider Name (Legal Business Name): HAROLD EUGENE GILLUNG RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41841 SIERRA DR
THREE RIVERS CA
93271-9795
US

IV. Provider business mailing address

41841 SIERRA DR
THREE RIVERS CA
93271-9795
US

V. Phone/Fax

Practice location:
  • Phone: 599-566-6801
  • Fax: 559-566-6805
Mailing address:
  • Phone: 559-566-6801
  • Fax: 559-566-6805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number78524
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: