Individual
EMILY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-2756
(217) 287-1121
Mailing address
11614 ORIOLE RD, LITCHFIELD, IL 62056-5142
(217) 851-0691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.302827
IL
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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