Individual
JACOB GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
712 TRAM RD, WHITEVILLE, NC 28472-3520
(910) 642-0388
Mailing address
7020 CAMERON TRACE DR, WILMINGTON, NC 28411-1200
(203) 455-7605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27172
NC
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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