Individual ProviderBenjamin Stanford GibsonPharmacistPharmacy Service ProvidersPractice Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318(610) 395-3671(610) 366-1110PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Stanford Gibson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1801910385Provider TypeIndividualFull NameGibson, Benjamin StanfordTitleDr.CredentialPHARM.DGenderMaleSole ProprietorYesEnumeration Date3/19/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318Phone(610) 395-3671FaxUnlisted FaxMailing LocationMailing Address4357 Creek Rd, Allentown, PA 18104-3460Phone(610) 366-1110FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP439792Pennsylvania