Individual
ALYSSA ANN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
17630 KENWOOD TRL, LAKEVILLE, MN 55044-9764
(952) 892-5959
Mailing address
20440 HUGHES AVE W, LAKEVILLE, MN 55044-8630
(651) 468-9321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124849
MN
Other
Enumeration date
09/16/2020
Last updated
12/21/2024
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