IndividualActive
Patricia Gipson, DPH
NPI 1003105818 · Pharmacist · Lebanon, TN
Provider details
- NPI number
- 1003105818
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- DPH
- Sex
- Female
- Sole proprietor
- No
- License
- 6067 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1418 West Main Street Suite a
Kroger Pharmacy
Lebanon, TN 37087-3264
Phone: (615) 449-4653
Fax: (615) 449-8873
Approximate (ZIP-level) locationGet directions
Mailing address
1418 West Main Street Suite a
Lebanon, TN 37087-3264
Registry dates
- Enumerated
- 2011-04-01
- Last updated
- 2011-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.