GIBSON FAMILY PHARMACY PC NPI 1043341951

NPI Information

GIBSON FAMILY PHARMACY PC is a long term care pharmacy pharmacy in Clovis, NM. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GIBSON FAMILY PHARMACY PC NPI is 1043341951. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Institutional Pharmacy Services.

The provider's business location address is:

1801 W 21ST ST STE B
CLOVIS, NM
ZIP 88101-023
Phone: (505) 762-9621
Fax: (505) 762-9612

The provider's authorized official is James Herman .
The authorized official title is Pic And President and has the following contact phone number (505) 762-9621.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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