Organization
GIBSON'S LLC
Active
Other names
Gibson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAM BROWN (OWNER)
(270) 705-4992
Entity
Organization
Contact information
Practice address
1206 PARIS RD, MAYFIELD, KY 42066-4989
(270) 705-4992
Mailing address
PO BOX 986, MAYFIELD, KY 42066-0040
(270) 705-4992
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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