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Organization

GIBSON COMMUNITY HOSPITAL ASSOCIATION

Active
Other names
Gibson Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW ERTEL (CFO)
(217) 784-2601
Entity
Organization

Contact information

Practice address
521 E FIRST ST, SUITE B, GIBSON CITY, IL 60936-1848
(217) 771-1437
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 771-1437

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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