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Gibson Family Pharmacy PC — NPI 1821160615, Clovis, NM | NPI Central

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NPI 1821160615

OrganizationActive

Gibson Family Pharmacy PC

NPI 1821160615 · Community/Retail Pharmacy · Clovis, NM

Provider details

NPI number: 1821160615
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Jim Herman, Owner Pharmacist(575) 762-4579
License: PH1134 (NM)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Pharmacy333600000XLicense PH1134 (NM)
Suppliers

Practice location

1801 W 21st St

Clovis, NM 88101-4023

Phone: (575) 762-4579

Fax: (575) 762-9612

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

1801 W 21st St

Clovis, NM 88101-4023

Other names (DBA / former)

Doing business as: Medicine Shoppe

Registry dates

Enumerated: 2006-11-15
Last updated: 2023-03-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.