Organization
GIBSON DISCOUNT PHARMACY OF MARSHALL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM EASLEY RPH (OWNER/PHARMACIST)
(903) 935-7775
Entity
Organization
Contact information
Practice address
110 E END BLVD N, MARSHALL, TX 75670-3602
(903) 935-7775
(903) 938-3521
Mailing address
110 E END BLVD N, MARSHALL, TX 75670-3602
(903) 935-7775
(903) 938-3521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00352
TX
333600000X
Pharmacy
Primary
00352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010944901
—
TX
05
—
108393301
—
TX
05
—
120675
—
TX
01
—
4510942
NABP
TX
Enumeration date
09/27/2005
Last updated
03/12/2010
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