NPI | 1174565014 |
---|---|
Doing Business As | DBA GIBSON PHARMACY |
Entity Type | Organization |
Authorized Contact | DANNY H DALEY President 785-825-0524 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-08757) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-12 |
Last Update Date | 2012-04-25 |