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NPI Code Detail

MEDICARE: DR. BILLY D GAMMEL PD

MEDICARE: DR. BILLY D GAMMEL PD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0420428AR

General Provider Information

NPI Number : 1003813890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BILLY D GAMMEL PD
Provider Business Mailing Address
First Line : PO BOX 677
Second Line :
City : CROSSETT
State : AR
Zip : 71635-0677
Country : US
Telephone Number : 870-364-5100
Fax Number : 870-364-5120
Provider Business Practice Location Address
First Line : 909 UNITY RD
Second Line :
City : CROSSETT
State : AR
Zip : 71635-9444
Country : US
Telephone Number : 870-364-5100
Fax Number : 870-364-5120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/06/2017

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Directions to “ DR. BILLY D GAMMEL PD” Practice Location

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