Peggy S Long & John R Gibson Ptr in Dyersburg - Community/retail Pharmacy
Peggy S Long & John R Gibson Ptr - NPI 1487793097
Peggy S Long & John R Gibson Ptr is a Community/retail Pharmacy in Dyersburg, Tennessee. Peggy S Long & John R Gibson Ptr practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Peggy S Long & John R Gibson Ptr is 1487793097. The last update date is 2020-08-25.
Peggy S Long & John R Gibson Ptr's current location address is 303 E Tickle St, Dyersburg, Tennessee. You can contact this provider via phone number 7312851711 and fax number 7312852203. The mailing address for Peggy S Long & John R Gibson Ptr is 303 E Tickle St, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peggy S Long & John R Gibson Ptr |
|---|---|
| Address | 303 E Tickle St, Dyersburg, Tennessee |
| Phone Number | 7312851711 |
| Fax Number | 7312852203 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Gibson R John |
| Credentials | DPH |
| Telephone Number | 7312851711 |
NPI Number Detail
| NPI Number | 1487793097 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-08-25 |
Provider Mailing Address Detail
| Address | 303 E Tickle St |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380243117 |
| Phone Number | 7312851711 |
| Fax Number | 7312852203 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 343 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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What is the Peggy S Long & John R Gibson Ptr's unique identification number?
The Peggy S Long & John R Gibson Ptr has been assigned the NPI (National Provider Identifier) Number 1487793097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Peggy S Long & John R Gibson Ptr located?
The Peggy S Long & John R Gibson Ptr is located at 303 E Tickle St, Dyersburg, TN 380243117.
What is the Peggy S Long & John R Gibson Ptr's specialty and taxonomy code?
The Peggy S Long & John R Gibson Ptr's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487793097 to Peggy S Long & John R Gibson Ptr?
The Centers for Medicare & Medicaid Services originally issued the 1487793097 to Peggy S Long & John R Gibson Ptr on 2007-02-06.
When was the Peggy S Long & John R Gibson Ptr's information last updated?
The Peggy S Long & John R Gibson Ptr's information was last updated on 2020-08-25.