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Individual

MR. MICHAEL GENE GILBOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
103 N MAIN ST, DREW, MS 38737-3406
(662) 745-2966
(662) 745-8919
Mailing address
103 N MAIN ST, DREW, MS 38737-3406
(662) 745-2966
(662) 745-8919

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
01753
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0203-6329
MS
01
2515180
NCPDP
MS
Enumeration date
07/30/2006
Last updated
07/09/2007
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