Organization
MEDIRX INC PA
Active
Other names
dba Gibson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY H DALEY R.PH. (PRESIDENT)
(785) 825-0524
Entity
Organization
Contact information
Practice address
321 S BROADWAY BLVD, SALINA, KS 67401-3803
(782) 825-0524
(785) 825-6540
Mailing address
321 S BROADWAY BLVD, SALINA, KS 67401-3803
(782) 825-0524
(785) 825-6540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-08757
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100442570B
—
KS
Enumeration date
06/12/2006
Last updated
04/25/2012
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