Organization
GIBSONS PHARMACY NO3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W ANDERSON RPH (PRES)
(601) 582-0254
Entity
Organization
Contact information
Practice address
216 W CENTRAL AVE, PETAL, MS 39465-2016
(601) 582-0254
(601) 582-0255
Mailing address
216 W CENTRAL AVE, PETAL, MS 39465-2016
(601) 582-0254
(601) 582-0255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00347
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032018
—
MS
Enumeration date
03/14/2007
Last updated
08/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up