Individual
MRS. NICOLE RACHELLE GIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 253-4271
Mailing address
PO BOX 350, JAY, OK 74346-0350
(918) 253-4271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14567
OK
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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