Individual
DR. JEAN PAUL GIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH, PHARMD
Contact information
Practice address
165 ERIE ST, NEWPORT PHARMACY, JERSEY CITY, NJ 07302-1717
(201) 963-1903
Mailing address
165 ERIE ST, NEWPORT PHARMACY, JERSEY CITY, NJ 07302-1717
(201) 963-1903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03326600
NJ
Other
Enumeration date
03/20/2014
Last updated
07/21/2016
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