NPI 1003105818

Patricia J Gipson, DPH

Practitioner Pharmacist Lebanon, TN

Practice location

Address: 1418 West Main Street Suite a Kroger Pharmacy, Lebanon, TN 37087-3264
Phone: (615) 449-4653
Fax: (615) 449-8873

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 6067 (TN)

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Registry record

NPI: 1003105818
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2011
Record last updated: 1 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.