Provider Demographics
NPI:1992973242
Name:GILBERT, PATRICK RAMSAY (RPH)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:RAMSAY
Last Name:GILBERT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1388
Mailing Address - Street 2:236 WEST CLINTON STREET
Mailing Address - City:GRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31032-1388
Mailing Address - Country:US
Mailing Address - Phone:478-986-4827
Mailing Address - Fax:478-986-4828
Practice Address - Street 1:236 WEST CLINTON STREET
Practice Address - Street 2:MEDICAP PHARMACY
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-1388
Practice Address - Country:US
Practice Address - Phone:478-986-4827
Practice Address - Fax:478-986-4828
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist