Most Relevant Information
Provider Data
| NPI Number: | 1003031303 |
| Provider Name: | PENNY GIBBONS BURKE RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH 38696 |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1212 N CALIFORNIA ST
STOCKTON
CA
952021552
Practice Location Phone/Fax
| Phone: | 2094688711 |
| Fax: | 2094688712 |
Provider Mailing Location
1212 N CALIFORNIA ST
STOCKTON
CA
952021552
Provider Mailing Phone/Fax
| Phone: | 2094688711 |
| Fax: | 2094688712 |