Individual
KAITLIN TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7106 KNIGHTDALE BLVD, KNIGHTDALE, NC 27545-9265
(919) 596-6821
Mailing address
117 PENNY LN, CARY, NC 27511-4025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26990
NC
Other
Enumeration date
08/30/2017
Last updated
10/24/2024
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