Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS GORDON GILLER, PHARM.D., BCPS
ActivePharmacist Clinician (PhC) · MORA, MN
Registration Details
- NPI Number
- 1508093139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2009 (16.849664764477 yrs)
- Last Updated
- Jun 22, 2009
- License
-
118391 (MN)
Practice Information
- Address
-
301 HIGHWAY 65 SMORA, MN, 550511899Browse MN providers · Browse ZIP 55051
- Phone
- 3202253596
- Fax
- 3202253533
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.