Organization
AMANAH INVESTMENTS, LLC
Active
Organization
AMANAH INVESTMENTS, LLC
Active
Other names
Gibson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANDERSON-KOCIAN PHARMD (MEMBER)
(903) 681-3868
Entity
Organization
Contact information
Practice address
205 W CEDAR CREEK PKWY STE A-1, SEVEN POINTS, TX 75143-8087
(903) 432-3494
(903) 432-3494
Mailing address
600 S PALESTINE ST, ATHENS, TX 75751-3310
(903) 432-3494
(903) 432-2578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/29/2020
Last updated
07/27/2020
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