| NPI | 1861504771 |
|---|---|
| Doing Business As | GIBSONS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RANDY WARDELL Owner 801-262-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 1295101703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-04 |