Individual
DEBORAH A GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
107 S RANDALL RD, ALGONQUIN, IL 60102-9773
(847) 854-8274
(847) 854-5302
Mailing address
107 S RANDALL RD, ALGONQUIN, IL 60102-9773
(847) 854-8274
(847) 854-5302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291612
IL
183500000X
Pharmacist
2007032821
MO
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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