Provider Demographics
NPI:1740868967
Name:GIBBENS, SARAH BARBARA (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BARBARA
Last Name:GIBBENS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:BARBARA
Other - Last Name:GILBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:540 SOUTH 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822
Mailing Address - Country:US
Mailing Address - Phone:308-872-5231
Mailing Address - Fax:308-872-2377
Practice Address - Street 1:540 SOUTH 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822
Practice Address - Country:US
Practice Address - Phone:308-872-5231
Practice Address - Fax:308-872-2377
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist