Organization Name: | GIBSON DISCOUNT PHARMACY OF MARSHALL INC |
NPI Number: | 1851388508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM EASLEY (OWNER/PHARMACIST) |
Mailing Address: | 110 E End Blvd N Marshall |
State: | TX US |
Postal Code: | 756703602 |
Phone Number: | 9039357775 |
Fax Number: | 9039383521 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 00352 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |