Organization
GIBSON DRUG, INC
Active
Other names
GIbson Health Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNITA AUGUSTINE (PRESIDENT)
(785) 743-5753
Entity
Organization
Contact information
Practice address
125 N. MAIN ST., WAKEENEY, KS 67672
(785) 743-5753
Mailing address
125 N. MAIN ST., WAKEENEY, KS 67672
(785) 743-5753
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10830153
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100435710A
—
KS
Enumeration date
09/21/2006
Last updated
10/04/2024
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