Provider Demographics
NPI:1144340654
Name:GILBERT, TERI LYNN (RPH)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:LYNN
Last Name:GILBERT
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 1:713 CANYON VIEW PL
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2105
Mailing Address - Country:US
Mailing Address - Phone:425-736-5668
Mailing Address - Fax:
Practice Address - Street 1:713 CANYON VIEW PL
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-2105
Practice Address - Country:US
Practice Address - Phone:425-736-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH195951835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy