Individual provider · Type 1 NPI
Chestevia Gibson, PharmD
Pharmacist · Forest Lake, MN
Practice location
1207 W Broadway Ave
Forest Lake, MN 55025-1418
Mailing address
10895 Birch Ln
Woodbury, MN 55129-6243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 120304 (MN) |
| Pharmacist | 183500000X | PS37448 (FL) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
4 other providers at this address
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About NPI 1629355409
Chestevia Gibson, PharmD's National Provider Identifier is 1629355409, issued on Nov 8, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Forest Lake, MN. The record was last updated on Nov 8, 2011.