Individual
REGETTA ANN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-5660
(405) 878-3497
Mailing address
4400 BRYANT VIA, SHAWNEE, OK 74804-2316
(405) 273-9102
(405) 275-5111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10976
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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