Suzanne Lorraine Gibbs, CPHT
Individual provider Active NPI Pharmacy Technician · Bridgeport, MI
NPI 1639745862 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1639745862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5303024239 (MI)
- Practice address
- 6155 Dixie Hwy
Bridgeport, MI 48722-9618 - Phone
- (989) 777-3550
- Fax
- (989) 777-5094
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303024239 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303024239 | MI | Yes |
Addresses
Primary practice location
6155 Dixie Hwy
Bridgeport, MI 48722-9618
Mailing address
3331 Woodland CT
Saginaw, MI 48601-5943
Phone (248) 821-5277
Other providers in Bridgeport, MI
- Ashley Frank
- Tracey Fray
- Teyana Frills
- Megan Mane Frost
- Haille Genella
- Abigail Elizabeth Gilmore
- Tacara Cherelle Goodwine
- Amanda Graham
- Great Lakes Bay Health Centers
- Great Lakes Bay Health Centers
All providers in Bridgeport, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.