Individual
KAYLA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3311
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
146523
AK
Other
Enumeration date
09/24/2019
Last updated
08/19/2020
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