Cameron Bryant Gibson, PHARMD

Individual provider Active NPI Pharmacist · Haw River, NC

NPI 1447736574 · NPPES record last updated Jul 11, 2018

Key facts

NPI
1447736574
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
27838 (NC)
Practice address
1009 W Main St
Haw River, NC 27258-9562
Phone
(336) 578-4625
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
27838NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27838 NC Yes

Addresses

Primary practice location

1009 W Main St
Haw River, NC 27258-9562

Mailing address

7203 Smith Crossing Dr
Kernersville, NC 27284-0091
Phone (252) 205-1840

Other providers in Haw River, NC

All providers in Haw River, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.