Individual
DR. ANGELA MAE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
311 N MAIN ST, LEITCHFIELD, KY 42754-2230
(270) 259-2474
Mailing address
311 N MAIN ST, LEITCHFIELD, KY 42754-2230
(270) 259-2474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016671
KY
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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