Individual
DAVIDA KADELL BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 CLINIC DR, HOPKINSVILLE, KY 42240-4989
(270) 886-9916
Mailing address
2202 LONG ST, HOPKINSVILLE, KY 42240-1798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022291
KY
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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