Gibson, Chestevia

Gibson, Chestevia is an individual health care provider with primary practice located at 1207 W Broadway Ave , Forest Lake MN 55025-1418. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gibson, Chestevia can be contacted via phone (651) 255-1887.

Contact Information

Primary practice address
1207 W Broadway Ave Forest Lake MN 55025-1418
Phone: (651) 255-1887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 120304 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X PS37448 Florida

Profile Details

NPI number 1629355409
LBN Legal business name Gibson, Chestevia
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2011
Last updated Nov 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers