Individual
MR. KARL WESLEY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1581 CAROL SUE AVE, SUITE E, GRETNA, LA 70056-5100
(504) 394-9037
Mailing address
1581 CAROL SUE AVE, SUITE E, GRETNA, LA 70056-5100
(504) 394-9037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13664
LA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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