# GIBSON PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gibson Prescription Pharmacy, Anderson's Gibson Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821578865
- **Authorized official:** LISA ANDERSON-KOCAIN PHARMD (MEMBER)
- **Authorized official phone:** (903) 675-7069

## Contact information

- **Practice address:** 600 S PALESTINE ST STE 100, ATHENS, TX 75751-3310
- **Practice address phone:** (903) 675-7069
- **Practice address fax:** (903) 677-5454
- **Mailing address:** 600 S PALESTINE ST STE 100, ATHENS, TX 75751-3323
- **Mailing address phone:** (903) 675-7069
- **Mailing address fax:** (903) 677-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 02523 | TX | Yes |

## Other

- **Enumeration date:** 08/20/2018
- **Last updated:** 01/22/2026