Gibson Pharmacy of Grenada, INC
NPI #1861533820 in Grenada, Mississippi
Provider Information
- NPI Number
- 1861533820
- Entity Type
- Organization
- Organization Name
- Gibson Pharmacy of Grenada, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 710 LAKEVIEW DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-4346
- Phone
- (662) 226-6589
Authorized Official
- Name
- MR. FRED S FORTENBERRY, RPH
- Title
- PRES
- Phone
- (662) 226-6589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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