Whalio Doctors

NPI 1043341951

Gibson Family Pharmacy PC

Organisation Long Term Care Pharmacy Clovis, NM

Practice location

Address
1801 W 21st St STE B, Clovis, NM 88101-4023
Phone
(505) 762-9621
Fax
(505) 762-9612

Authorised official

Name
James Herman
Title
Pic and President
Phone
(505) 762-9621

Registered specialties (3)

Long Term Care Pharmacy Primary
Suppliers Taxonomy 3336L0003X Licence PH001818 (NM)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X
Institutional Pharmacy
Suppliers Taxonomy 3336I0012X

Registry record

NPI
1043341951
Entity type
Organization
NPI issued
9 Mar 2007
Record last updated
12 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.