GIBSON PHARMACY LLC NPI 1821578865

NPI Information

  • NPI: 1821578865
  • Provider Name: GIBSON PHARMACY, LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: GIBSON PRESCRIPTION PHARMACY
  • CLIA Number: 45D2175808
  • Address: 600 S PALESTINE ST STE 100
    ATHENS, TX
    ZIP 75751
  • Phone: (903) 675-7069

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NPI Details

GIBSON PHARMACY, LLC is a long term care pharmacy pharmacy in Athens, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GIBSON PHARMACY, LLC NPI is 1821578865. The provider is registered as an organization entity type.
The provider Is Doing Business As Gibson Prescription Pharmacy.

The provider's business location address is:

600 S PALESTINE ST STE 100
ATHENS, TX
ZIP 75751-310
Phone: (903) 675-7069
Fax: (903) 677-5454

The provider's authorized official is Lisa Anderson Kocian .
The authorized official title is Vice-president and has the following contact phone number (903) 675-7062.

The CLIA number assigned to this NPI record is 45D2175808 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy02523TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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