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Ryan Gibson
NPI 1194353805 · on the registry since 2020
Practice
- Address
- 550 W Honeysuckle Ave
Hayden, ID 83835 - Phone
- (208) 209-4081
- Fax
- (208) 209-4057
- Organisation at this address
- Walmart Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Also registered as
- Pharmacist
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho