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Individual

DR. SUSAN DIANE GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(253) 459-9087
(708) 202-8138
Mailing address
3508 W 6TH ST, ANACORTES, WA 98221-1232
(408) 623-1116

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-00013608
OR

Other

Enumeration date
07/29/2013
Last updated
06/11/2024
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