Individual
KIMBERLY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1300 W UNIVERSITY AVE STE 200, FLAGSTAFF, AZ 86001-7228
(928) 226-1056
Mailing address
10260 AURORA RD, FLAGSTAFF, AZ 86004-1178
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
S014832
AZ
Other
Enumeration date
10/31/2012
Last updated
07/10/2019
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