Individual provider · Type 1 NPI

Bradley E. Gibbs, RPH

Pharmacist · Port Orange, FL

NPI number 1659473429 Active

Practice location

1771 Dunlawton Ave
Port Orange, FL 32127-4757

Call (386) 767-6082 Map

Mailing address

841 Clear Lake Dr
Port Orange, FL 32127-7780

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X3954 (NM)
Pharmacist Primary 183500000XPS56034 (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…

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About NPI 1659473429

Bradley E. Gibbs, RPH's National Provider Identifier is 1659473429, issued on Sep 2, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Orange, FL. The record was last updated on Dec 1, 2020.