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NASHVILLE PHARMACY INC
CAH141308-00 Washington County Hospital
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Covered Entity Details
Entity Name
Washington County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141308-00
Entity Address
705 South Grand Avenue
Nashville, IL 62263
Medicare Provider Number
141308
Participating Start Date
1/1/2013
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
NASHVILLE PHARMACY INC
Pharmacy Address
P.O. BOX 269
154 EAST ADAMS ST
NASHVILLE, IL 62263
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/2/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian K Monsma, President
(618) 327-8326
Contract Pharmacy Representative
Nashville Pharmacy
Jennifer Miller, Owner
(618) 327-8522
Signed By Date
10/10/2018
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