Patricia J Gipson DPH

NPI 1003105818 - Pharmacist - 183500000X

NPI Details
NPI 1003105818
Gender Female
Enumeration Date 04/01/2011
Last Updated 04/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1418 WEST MAIN STREET SUITE A
KROGER PHARMACY
LEBANON TN, 37087-3264, US
Phone (615) 449-4653
Fax (615) 449-8873
Business Location
1418 WEST MAIN STREET SUITE A
KROGER PHARMACY
LEBANON TN, 37087-3264, US
Phone (615) 449-4653
Fax (615) 449-8873
Toxanomy
Taxonomy Code 183500000X
License State Tennessee
License Number 6067
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According to our database, Mrs. Patricia J Gipson DPH NPI is 1003105818, taxonomy code is 183500000X and license number is 6067, license state is located at Tennessee. Patricia J Gipson DPH physically located at 1418 West Main Street Suite A, Lebanon TN, 37087-3264. NPI Number Patricia J Gipson DPH has the Individual type.

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1003105818 NPI number is provided on an as is basis without warranty of any kind. 1003105818 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia J Gipson DPH are for informational purposes only.