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Contact Information

GIBSON DRUG, INC
125 N. MAIN ST.
WAKEENEY, KS67672
 Phone: 785-743-5753
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GIBSON DRUG, INC

NPI Number 1114026895
LBN Legal business name GIBSON DRUG, INC
Authorized official BERNITA AUGUSTINE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 10/04/2024 - More than a year ago
Identifiers
KS License # 10830153
KS Medicaid 100435710A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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