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Organization

DARRELL L SCHNEIDER

Active
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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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