Organization
GIBSON'S DISCOUNT DRUGS, INC
Active
Other names
Gibson's Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GIBSON RPH (OWNER/PIC)
(618) 318-5340
Entity
Organization
Contact information
Practice address
1506 S MAIN ST, RED BUD, IL 62278-1316
(618) 282-6231
(618) 282-4090
Mailing address
1506 S MAIN ST, RED BUD, IL 62278-1316
(618) 282-6231
(618) 282-4090
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054007133
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017692
PK
—
05
—
371087234
—
IL
Enumeration date
10/11/2005
Last updated
03/15/2017
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