Organization
GIBSON SALES LP
Active
Other names
Drug Emporium 101
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MAGLIOLO RPH (DIRECTOR OF PHARMACY)
(903) 297-0766
Entity
Organization
Contact information
Practice address
824 W UNIVERSITY DR, DENTON, TX 76201-1846
(940) 387-1290
(903) 297-2895
Mailing address
PO BOX 6238, LONGVIEW, TX 75608-6238
(903) 297-0766
(903) 297-2895
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22535
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144272
—
TX
Enumeration date
05/15/2006
Last updated
11/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us