Individual
MRS. TAMMY CHARLYN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH DPH
Contact information
Practice address
200 N HURSTBOURNE PKWY STE 174, LOUISVILLE, KY 40222-5138
(502) 690-4462
(502) 690-4466
Mailing address
9344 CROSS MEADOWS CIR, LOUISVILLE, KY 40291-5618
(502) 797-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9030
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P009030
PHARMACIST
KY
Enumeration date
01/10/2023
Last updated
01/10/2023
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