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HUDSON DRUG SHOP
CAH141317-00 GIBSON COMMUNITY HOSPITAL DBA GIBSON AREA HOSPITAL AND HEALTH SERVICES
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Covered Entity Details
Entity Name
GIBSON COMMUNITY HOSPITAL DBA GIBSON AREA HOSPITAL AND HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141317-00
Entity Address
1120 N MELVIN
GIBSON CITY, IL 60936
Medicare Provider Number
141317
Participating Start Date
7/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
HUDSON DRUG SHOP
Pharmacy Address
108 N MARKET ST
PO BOX 70
PAXTON, IL 60957-1220
Pharmacy Comments
Contract Details
Approval Date
7/10/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOHN JACOBSON, CFO
(217) 784-2601
Contract Pharmacy Representative
Andrew Hudson, President
(217) 379-4858
Signed By Date
7/10/2013
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