Individual
CATHERINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 BOB WHITE BLVD, PULASKI, VA 24301-4303
(540) 980-8470
Mailing address
PO BOX 258, ROCKY GAP, VA 24366-0258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218062
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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