Individual
MANDY R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
521 MARKET ST, OSAGE CITY, KS 66523-1157
(785) 528-4415
(785) 528-4930
Mailing address
1923 ROAD 360, READING, KS 66868-9205
(785) 528-4415
(785) 528-4930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13531
KS
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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