Mikes Gibson Pharmacy

LBN: Michael H Butts
Mikes Gibson Pharmacy is an health care organization with primary practice located at 501 West 2Nd Box 1030 , Clarendon TX 79226-1030. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Michael H Butts can be contacted via phone (806) 874-3554, or through Butts, Michael H via phone (806) 874-3554.

Contact Information

Primary practice address
501 West 2Nd Box 1030 Clarendon TX 79226-1030
Phone: (806) 874-3554
Fax: (806) 874-9287
Website:
Map and Directions
Authorized official contact:
Name: Butts, Michael H RPH
Phone: (806) 874-3554

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 10254 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X 10254 Texas

Profile Details

NPI number 1598890709
LBN Legal business name Michael H Butts
DBA Doing business as Mikes Gibson Pharmacy
Authorized official Butts, Michael H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 2nd, 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 1598890709 NPPES
Other 4550554 NCPDP
MEDICAID 142479 NCPDP

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