Organization
WRB ENTERPRISES INC.
Active
Other names
GIBSONS PHARMACY HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R BROWN (OWNER)
(270) 247-7300
Entity
Organization
Contact information
Practice address
715 E BROADWAY ST, MAYFIELD, KY 42066-2425
(270) 247-7300
(270) 247-6945
Mailing address
PO BOX 986, MAYFIELD, KY 42066-0040
(270) 247-7300
(270) 247-6945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P01629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90040429
—
KY
Enumeration date
01/24/2007
Last updated
08/01/2012
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