Individual
DR. ERIC GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
40 MOONBOW PLZ, SUITE #1, CORBIN, KY 40701-8982
(606) 258-0000
(606) 258-0002
Mailing address
40 MOONBOW PLZ, SUITE #1, CORBIN, KY 40701-8982
(606) 258-0000
(606) 258-0002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54004437 MED
KY
183500000X
Pharmacist
90006305 DME
KY
183500000X
Pharmacist
P06831 PHARMACY
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827700
NABP
—
05
—
54004437
—
KY
05
—
90006305
—
KY
Enumeration date
08/29/2006
Last updated
07/09/2007
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