Organization
W R B ENTERPRISES INC
Active
Other names
GIBSONS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BROWN RPH (OWNER/MEMBER)
(270) 247-7300
Entity
Organization
Contact information
Practice address
715 E BROADWAY, MAYFIELD, KY 42066-2439
(270) 247-7300
(270) 247-6945
Mailing address
PO BOX 986, MAYFIELD, KY 42066-0040
(270) 247-7300
(270) 247-6945
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030364
PK
—
05
—
54018759
—
KY
Enumeration date
09/20/2006
Last updated
01/20/2017
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