Provider Demographics
NPI:1639774565
Name:WILHALME, GAIL MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:MARIE
Last Name:WILHALME
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 1:4 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2445
Mailing Address - Country:US
Mailing Address - Phone:732-431-8700
Mailing Address - Fax:732-431-8729
Practice Address - Street 1:4 RYAN RD
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2445
Practice Address - Country:US
Practice Address - Phone:732-431-8700
Practice Address - Fax:732-431-8729
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02651800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist