Organization · Type 2 NPI

Gibson Community Hospital Association

Community/Retail Pharmacy · Gibson City, IL

NPI number 1477570166 Active

Practice location

104 N. Sangamon Ave
Gibson City, IL 60936-1343

Call (217) 784-8545 Map

Fax (217) 784-8039

Mailing address

1120 N. Melvin St
Gibson City, IL 60936-1477

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	054015227 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1477570166
Entity type: Organization (Type 2)
Issued: Jul 17, 2006
Last updated: Jul 17, 2023
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

<unavail>
Gibson Family Pharmacy, A Member of the Medicine Shoppe Family · doing business as

Authorized official

Mr. Matthew Ertel
Chief Financial Officer
(217) 784-4251

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477570166

Gibson Community Hospital Association's National Provider Identifier is 1477570166, issued on Jul 17, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Gibson City, IL. The record was last updated on Jul 17, 2023.