NPI | 1295786432 |
---|---|
Doing Business As | GIBSON PRESCRIPTION PHARMACY |
Entity Type | Organization |
Authorized Contact | LISA ANDERSON-KOCIAN Manager 903-675-7069 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 02523) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 02523) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 02523) | |
333600000X Pharmacy | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-06-04 |