Individual
IAN S GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1875 E MANSFIELD ST, BUCYRUS, OH 44820-2075
(419) 562-8411
Mailing address
1744 HONEYSUCKLE DR, MANSFIELD, OH 44905-2367
(484) 241-6901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03331546
OH
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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