NPI 1821160615

Gibson Family Pharmacy PC

Organisation Community/Retail Pharmacy Clovis, NM

Practice location

Address: 1801 W 21st St, Clovis, NM 88101-4023
Phone: (575) 762-4579
Fax: (575) 762-9612

Authorised official

Name: Jim Herman
Title: Owner Pharmacist
Phone: (575) 762-4579

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

Other Pharmacy providers in New Mexico →

Pharmacy

Suppliers Taxonomy 333600000X Licence PH1134 (NM)

Registry record

NPI: 1821160615
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 7 Mar 2023

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.