Medicine Shoppe
LBN: Gibson Family Pharmacy Pc
Medicine Shoppe is an health care organization with primary practice located at 1801 W 21St St , Clovis NM 88101-4023. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gibson Family Pharmacy Pc can be contacted via phone (575) 762-4579, or through Herman, Jim via phone (575) 762-4579.
Contact Information
Primary practice address
1801 W 21St St
Clovis NM 88101-4023
Phone: (575) 762-4579
Fax: (575) 762-9612
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | PH1134 | New Mexico |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1821160615 |
---|---|
LBN Legal business name | Gibson Family Pharmacy Pc |
DBA Doing business as | Medicine Shoppe |
Authorized official | Herman, Jim RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 15th, 2006 |
Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821160615 | NPPES |
Other | 3200362 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
MEDICAID | 67454 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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