Provider Demographics
NPI:1104236033
Name:GIL, JULIO (RPH)
Entity type:Individual
Prefix:MR
First Name:JULIO
Middle Name:
Last Name:GIL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 3RD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1409
Mailing Address - Country:US
Mailing Address - Phone:866-776-6782
Mailing Address - Fax:800-815-6808
Practice Address - Street 1:741 3RD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1409
Practice Address - Country:US
Practice Address - Phone:866-776-6782
Practice Address - Fax:800-815-6808
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031759L1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy