Jeremy Gibson
Pharmacist in Madison, MS. Individual provider (NPI-1).
NPI number1124494166
StatusActive
Last updated in NPPESAug 13, 2015
Details
- NPI
- 1124494166
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Gibson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2015
- Last updated
- Aug 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | E-13947 | MS | Yes |
Practice location
1606 Highland Colony PkwyMadison, MS 39110-6917
Phone 601-605-5928
Mailing address
150 Park Circle Dr Apt B19Flowood, MS 39232-7631
Phone 228-238-9478
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All 64 Pharmacist providers in Madison · All 868 providers in Madison
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