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ASCENSION WI RETAIL PHARMACY WAUSAU
SCH520019-00 ASPIRUS RHINELANDER HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS RHINELANDER HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH520019-00
Entity Address
2251 NORTH SHORE DRIVE
STE 100
RHINELANDER, WI 54501
Medicare Provider Number
520019
Participating Start Date
10/1/2024
Last Recertification Date
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
ASCENSION WI RETAIL PHARMACY WAUSAU
Pharmacy Address
DBA ASCENSION WI PRESCRIPTION CENTER ST.
2251 N SHORE DR
RHINELANDER, WI 54501
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Sandra Anderson, Regional Vice President - Northern Region & Hospital President
(715) 361-2007
Contract Pharmacy Representative
Ascension
Michael Torhorst, Regional Director Retail Pharmacy
(262) 687-2161
Signed By Date
10/12/2018
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