Provider Demographics
NPI:1013741230
Name:GIBSON PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:GIBSON PHARMACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:REED
Authorized Official - Last Name:ORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, PHD
Authorized Official - Phone:801-262-5526
Mailing Address - Street 1:240 E WINCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7305
Mailing Address - Country:US
Mailing Address - Phone:801-262-5526
Mailing Address - Fax:801-262-0125
Practice Address - Street 1:240 E WINCHESTER ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7305
Practice Address - Country:US
Practice Address - Phone:801-262-5526
Practice Address - Fax:801-262-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy