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Individual

BENJAMIN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5800 NORTHWEST PKWY # 100, SAN ANTONIO, TX 78249-3375
(999) 999-9999
(999) 999-9999
Mailing address
5800 NORTHWEST PKWY STE 100, SAN ANTONIO, TX 78249-3375

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55764
TX

Other

Enumeration date
06/21/2012
Last updated
08/27/2019
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