Individual
BROOKE LYNN GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3220 N REYNOLDS RD, BRYANT, AR 72022-9039
(501) 837-9680
Mailing address
3412 TRAVIS PKWY, BRYANT, AR 72022-8511
(501) 837-9680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14524
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD14524
ARKANSAS STATE BOARD OF PHARMACY
AR
Enumeration date
11/23/2020
Last updated
11/23/2020
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