Provider Demographics
NPI:1598352635
Name:GOW-BARBER, GILLIAN LYNNE (RPH)
Entity Type:Individual
Prefix:DR
First Name:GILLIAN
Middle Name:LYNNE
Last Name:GOW-BARBER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 GOLF ST
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-5104
Mailing Address - Country:US
Mailing Address - Phone:909-761-7220
Mailing Address - Fax:
Practice Address - Street 1:5417 GOLF ST
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-5104
Practice Address - Country:US
Practice Address - Phone:909-761-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist