Organization
GIBBONS PHARMACIES LLC
Active
Other names
GIBBONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GIBBONS (MEMBER/PHARMACIST)
(509) 865-2722
Entity
Organization
Contact information
Practice address
117 S TOPPENISH AVE, TOPPENISH, WA 98948-1557
(509) 865-2722
(509) 865-2329
Mailing address
PO BOX 1189, TOPPENISH, WA 98948-0140
(509) 865-2722
(509) 865-2329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00005078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110118
PK
—
05
—
6021661
—
WA
Enumeration date
07/30/2006
Last updated
03/07/2017
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