Organization
GIBBONS PHARMACIES LLC
Active
Other names
ELFERS LYON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GIBBONS (OWNER)
(509) 865-2722
Entity
Organization
Contact information
Practice address
820 MEMORIAL ST, SUITE 2, PROSSER, WA 99350-2504
(509) 786-3200
(509) 786-7074
Mailing address
820 MEMORIAL ST, SUITE 2, PROSSER, WA 99350-2504
(509) 786-3200
(509) 786-7074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00055919
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106990
PK
—
05
—
6021679
—
WA
Enumeration date
07/30/2006
Last updated
03/09/2017
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