Gibson Pharmacy

LBN: Burtis Drug, Inc.
Gibson Pharmacy is an health care organization with primary practice located at 815 N O Connor Rd , Irving TX 75061-4510. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Burtis Drug, Inc. can be contacted via phone (972) 579-0511, or through Burtis, John Austin via phone (972) 579-0511.

Contact Information

Primary practice address
815 N O Connor Rd Irving TX 75061-4510
Fax: (972) 579-0512
Website:
Authorized official contact:
Name: Burtis, John Austin PHA

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 11854 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1700998614
LBN Legal business name Burtis Drug, Inc.
DBA Doing business as Gibson Pharmacy
Authorized official Burtis, John Austin PHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700998614 NPPES
Other 4545565 OTHER ID NUMBER-COMMERCIAL NUMBER

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