Individual
BRIAN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
711 N MAIN ST, EDGERTON, WI 53534-1530
(608) 884-6644
Mailing address
711 N MAIN ST, EDGERTON, WI 53534-1530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18348-40
WI
Other
Enumeration date
09/07/2017
Last updated
09/26/2025
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