Anita Gibson

NPI #1912500596 in Marked Tree, Arkansas

Provider Information

NPI Number: 1912500596
Entity Type: Individual
Name: Anita Gibson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 203 NEWSOME DR STE A
City: Marked Tree
State: Arkansas
ZIP Code: 72365-2018
Phone: (870) 358-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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Organizations

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