MEDICARE: GLORIA GISCH RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	25300	TX
2	183500000X	Pharmacist	2011027157	MO
3	183500000X	Pharmacist	PH 60036824	WA

General Provider Information

NPI Number	:	1972924025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA GISCH RPH

Provider Business Mailing Address
First Line	:	240 MCCANN AVE
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4819
Country	:	US
Telephone Number	:	512-608-1755
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 MCCANN AVE
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4819
Country	:	US
Telephone Number	:	512-608-1755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	12/16/2013

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Directions to “ GLORIA GISCH RPH” Practice Location

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