GIBSON SALES LP
5614 S Broadway Ave
Tyler, TX 75703
903-534-9105
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | TX | 22542 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
144275 | TX | MEDICAID |