<Unavail>
LBN: Gibson Sales Lp
<Unavail> is an health care organization with primary practice located at 5614 S Broadway Ave , Tyler TX 75703-4356. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gibson Sales Lp can be contacted via phone (903) 534-9105, or through Magliolo, Richard via phone (903) 297-0766.
Contact Information
Primary practice address
5614 S Broadway Ave
Tyler TX 75703-4356
Phone: (903) 534-9105
Fax: (903) 297-2895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 22542 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1700837382 |
|---|---|
| LBN Legal business name | Gibson Sales Lp |
| DBA Doing business as | <Unavail> |
| Authorized official | Magliolo, Richard RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 27th, 2026 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700837382 | NPPES |
| Texas | MEDICAID | 144275 |
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