Individual
NANCY E GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5201 CHIPPEWA ST, SAINT LOUIS, MO 63109-2355
(314) 352-5201
Mailing address
5201 CHIPPEWA ST, SAINT LOUIS, MO 63109-2355
(314) 352-5201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042725
MO
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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