Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gibson Pharmacy of Grenada, Inc

Organization Community/Retail Pharmacy · NPI 1861533820

Gibson Pharmacy of Grenada, Inc is a Community/Retail Pharmacy in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Lakeview Dr
Grenada, MS 38901-4346
Phone: (662) 226-6589
Fax: (662) 226-1604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 00662 (MS)

Record details

NPI number1861533820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Fortenberry — Pres · (662) 226-6589
Other names Gibson Pharmacy
NPI enumeratedFebruary 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address710 Lakeview Dr, Grenada, MS 38901-4346

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