Teira Lynn Gibson Valid NPI

Individual provider · Pharmacist · Mableton, GA

NPI

1629345533

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

RPH022969 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2011-11-20

Last updated

2022-12-23