Organization
GIBBONS PHARMACIES LLC
Active
Other names
BARTONS CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GIBBONS (OWNER)
(509) 865-2722
Entity
Organization
Contact information
Practice address
1011 W SPRUCE ST, YAKIMA, WA 98902-3332
(509) 248-6232
(509) 575-0192
Mailing address
1011 W SPRUCE ST, YAKIMA, WA 98902-3332
(509) 248-6232
(509) 575-0192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00056614
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107632
PK
—
05
—
6023253
—
WA
Enumeration date
07/30/2006
Last updated
12/03/2019
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