NPI 1174704407

Donna Marie Gibble, RPH

Practitioner Pharmacist Woodstock, IL

Practice location

Address: 3701 Doty Rd Centegra Memorial Medical Center Pharmacy, Woodstock, IL 60098-7509
Phone: (815) 334-3880

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X

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Registry record

NPI: 1174704407
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

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.