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Individual

DR. TIFFANY SHANATE GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
701 GROVE RD, EMPLOYEE PAVILION, GREENVILLE, SC 29605-5611
(864) 455-8910
(864) 455-8403
Mailing address
701 GROVE RD, EMPLOYEE PAVILION, GREENVILLE, SC 29605-5611
(864) 455-8910
(864) 455-8403

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12787
SC

Other

Enumeration date
03/01/2010
Last updated
03/01/2010
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