Organization
GIBSON PHARMACY SERVICES LLC
Active
Other names
Gibson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON ROBINSON (OWNER/MANAGER)
(801) 262-5526
Entity
Organization
Contact information
Practice address
240 E WINCHESTER ST, MURRAY, UT 84107-7305
(801) 262-5526
(801) 262-0125
Mailing address
240 E WINCHESTER ST, MURRAY, UT 84107-7305
(801) 262-5526
(801) 262-0125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9754571-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160207
PK
—
Enumeration date
04/15/2016
Last updated
02/27/2023
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