Drug Emporium 284

LBN: Gibson Sales Lp
Drug Emporium 284 is an health care organization with primary practice located at 5614 S Broadway Ave , Tyler TX 75703-4356. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gibson Sales Lp can be contacted via phone (903) 534-9105, or through Magliolo, Richard via phone (903) 297-0766.

Contact Information

Primary practice address
5614 S Broadway Ave Tyler TX 75703-4356
Phone: (903) 534-9105
Fax: (903) 297-2895
Website:
Map and Directions
Authorized official contact:
Name: Magliolo, Richard RPH
Phone: (903) 297-0766

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 22542 Texas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1700837382
LBN Legal business name Gibson Sales Lp
DBA Doing business as Drug Emporium 284
Authorized official Magliolo, Richard RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Nov 23rd, 2020 - about 4 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 1700837382 NPPES
Texas MEDICAID 144275

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