Organization
DARRELL L SCHNEIDER
Active
Other names
GIBSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL SCHNEIDER (OWNER PHARMACIST IN CHARGE)
(254) 883-2451
Entity
Organization
Contact information
Practice address
423 LIVE OAK ST, MARLIN, TX 76661-2367
(254) 883-2451
(254) 883-5267
Mailing address
423 LIVE OAK ST, MARLIN, TX 76661-2367
(254) 883-2451
(254) 883-5267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143473
—
TX
01
—
2100011
PK
—
Enumeration date
08/31/2006
Last updated
10/23/2014
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