Organization
GIBSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUU NGUYEN (PHARMACIST)
(972) 579-0511
Entity
Organization
Contact information
Practice address
815 N. OCONNOR, IRVING, TX 75061
(972) 579-0511
Mailing address
815 N. O'CONNOR RD, IRVING, TX 75061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143727
—
TX
Enumeration date
11/02/2010
Last updated
11/02/2010
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