Provider Demographics
NPI:1013358050
Name:GUBSER, DONALD (RPH)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:GUBSER
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 1:6439 TAYLOR MILL RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-9343
Mailing Address - Country:US
Mailing Address - Phone:859-356-3121
Mailing Address - Fax:859-356-0656
Practice Address - Street 1:6439 TAYLOR MILL RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KY
Practice Address - Zip Code:41051-9343
Practice Address - Country:US
Practice Address - Phone:859-356-3121
Practice Address - Fax:859-356-0656
Is Sole Proprietor?:No
Enumeration Date:2013-07-06
Last Update Date:2013-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist