Provider Demographics
NPI:1265764971
Name:GIBLIN, JOANNE ELIZABETH (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:ELIZABETH
Last Name:GIBLIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 N FRENCH RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2009
Mailing Address - Country:US
Mailing Address - Phone:716-691-3000
Mailing Address - Fax:
Practice Address - Street 1:375 N FRENCH RD
Practice Address - Street 2:SUITE 108
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2009
Practice Address - Country:US
Practice Address - Phone:716-691-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307981835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist