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
Fax: (575) 762-9612
Website:
Authorized official contact:
Name: Herman, Jim RPH

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821160615 NPPES
Other 3200362 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 67454 OTHER ID NUMBER-COMMERCIAL NUMBER

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