GIBSON SALES LP
5819 E Kings Hwy
Shreveport, LA 71105
318-861-7898
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | LA | 1963RC |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1264440 | LA | MEDICAID |