MEDICARE: DR. JUSTIN BLAKE GILLUM PHARMD

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
1	183500000X	Pharmacist	0202207472	VA

General Provider Information

NPI Number	:	1184869497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN BLAKE GILLUM PHARMD

Provider Business Mailing Address
First Line	:	915 HARDY RD
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-3643
Country	:	US
Telephone Number	:	804-787-0858
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 HARDY RD
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-3643
Country	:	US
Telephone Number	:	804-787-0858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	12/16/2008

Similar Medicare Providers

1598404253 — BRETT HALL
Practice Location Address:

995 HARDY RD
VINTON, VA
24179-3643

Practice Phone: 540-728-0986
Practice Fax:

1275949430 — SEAN A RAHALL OTR/L
Practice Location Address:

995 HARDY RD
VINTON, VA
24179-3643

Practice Phone: 540-728-0986
Practice Fax:

1851325591 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

915 HARDY RD
VINTON, VA
24179-3643

Practice Phone: 540-344-1215
Practice Fax: 540-343-2638

1811291396 — CRYSTAL M NEIDIGH
Practice Location Address:

915 HARDY RD
VINTON, VA
24179-3643

Practice Phone: 540-344-1215
Practice Fax:

1053695361 — MR. JEFFREY HOWARD LESTER R.PH., D.PH.
Practice Location Address:

915 HARDY RD
VINTON, VA
24179-3643

Practice Phone: 540-344-1215
Practice Fax: 540-344-1238

1790069623 — DR. KYNDAL LEIGH WALTON PHARMD
Practice Location Address:

915 HARDY RD
VINTON, VA
24179-3643

Practice Phone: 540-344-1215
Practice Fax:

Directions to “ DR. JUSTIN BLAKE GILLUM PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.