Gibson Pharmacy

LBN: Gibson Pharmacy
Gibson Pharmacy is an health care organization with primary practice located at 2505 S Carrier Pkwy , Grand Prairie TX 75052-5017. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gibson Pharmacy can be contacted via phone (972) 264-0268, or through Ray, Gary via phone (972) 264-0268.

Contact Information

Primary practice address
2505 S Carrier Pkwy Grand Prairie TX 75052-5017
Phone: (972) 264-0268
Fax: (972) 262-1750
Website:
Map and Directions
Authorized official contact:
Name: Ray, Gary
Phone: (972) 264-0268

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 05040 Texas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1366536583
LBN Legal business name Gibson Pharmacy
DBA Doing business as
Authorized official Ray, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 17th, 2019 - about 5 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 1366536583 NPPES
Texas MEDICAID 141836

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