Provider Demographics
NPI:1285923755
Name:GIBSON, ROBIN DELANE (PHARMD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:DELANE
Last Name:GIBSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 5TH AVE N
Mailing Address - Street 2:5TH FLOOR, CORDELL HULL BLDG
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-3400
Mailing Address - Country:US
Mailing Address - Phone:615-741-0241
Mailing Address - Fax:615-532-2785
Practice Address - Street 1:425 5TH AVE N
Practice Address - Street 2:5TH FLOOR, CORDELL HULL BLDG
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-3400
Practice Address - Country:US
Practice Address - Phone:615-741-0241
Practice Address - Fax:615-532-2785
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN111581835P0018X
KY0111511835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist