Organization
GIBSON PHARMACY, LLC
Active
Other names
GIBSON PRESCRIPTION PHARMACY, Anderson's Gibson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANDERSON-KOCAIN PHARMD (MEMBER)
(903) 675-7069
Entity
Organization
Contact information
Practice address
600 S PALESTINE ST, SUITE 100, ATHENS, TX 75751-3310
(903) 675-7069
(903) 677-9459
Mailing address
600 S PALESTINE ST STE 100, ATHENS, TX 75751-3323
(903) 675-7069
(903) 677-9459
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
02523
TX
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02523
TX
3336L0003X
Long Term Care Pharmacy
02523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142443
—
TX
Enumeration date
05/12/2006
Last updated
12/30/2025
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