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JODI'S FAMILY PHARMACY
CAH261332-00 Carroll County Memorial Hospital
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Covered Entity Details
Entity Name
Carroll County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261332-00
Entity Address
1502 N Jefferson
Carrollton, MO 64633
Medicare Provider Number
261332
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
JODI'S FAMILY PHARMACY
Pharmacy Address
AHNEFELD PHARM LLC
1004 N US HIGHWAY 65
CARROLLTON, MO 64633-1971
Pharmacy Comments
Contract Details
Approval Date
1/2/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Braun, Chief Operating Officer
(660) 542-1695 Ext: 3067
Contract Pharmacy Representative
Jodi's Family Pharmacy
Jodi Ahnefeld, Owner
(660) 542-0050
Signed By Date
1/2/2019
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