Organization
CITY DRUG STORE OF NOCONA INC
Active
Organization
CITY DRUG STORE OF NOCONA INC
Active
Other names
Gibbs Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL WAYNE FENOGLIO RPH (PRESIDENT)
(940) 825-3226
Entity
Organization
Contact information
Practice address
216 CLAY STREET, NOCONA, TX 76255-0458
(940) 825-3226
(940) 825-4899
Mailing address
PO BOX 458, 216 CLAY STREET, NOCONA, TX 76255-0458
(940) 825-3226
(940) 825-4899
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120815
—
TX
Enumeration date
03/05/2007
Last updated
08/22/2020
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