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PHARMACY PLUS, INC.
CAH141300-00 THOMAS H BOYD CRITICAL ACC HOSPITAL
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Covered Entity Details
Entity Name
THOMAS H BOYD CRITICAL ACC HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141300-00
Entity Address
800 SCHOOL STREET
CARROLLTON, IL 62016
Medicare Provider Number
141300
Participating Start Date
10/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
PHARMACY PLUS, INC.
Pharmacy Address
116 N. MAIN ST.
WHITE HALL, IL 62092-1054
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
5/14/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah J Campbell, CEO
(217) 942-6946
Contract Pharmacy Representative
Pharmacy Plus
Bryon A Berry JR., President
(217) 374-2222
Signed By Date
10/12/2018
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