# GIBSON SALES LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drug Emporium 210
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528019148
- **Authorized official:** RICHARD MAGLIOLO RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (903) 297-0766

## Contact information

- **Practice address:** 5819 E KINGS HWY, SHREVEPORT, LA 71105-4303
- **Practice address phone:** (318) 861-7898
- **Practice address fax:** (903) 297-2895
- **Mailing address:** PO BOX 6238, LONGVIEW, TX 75608-6238
- **Mailing address phone:** (903) 297-0766
- **Mailing address fax:** (903) 297-2895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1963RC | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 03/27/2026