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WILLIAMS BROS HEALTH CARE PHARMACY
CAH141327-00 Wabash General Hospital District
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Covered Entity Details
Entity Name
Wabash General Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141327-00
Entity Address
1418 College Drive
Mt Carmel, IL 62863
Medicare Provider Number
141327
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WILLIAMS BROS HEALTH CARE PHARMACY
Pharmacy Address
101 W BRUMFIELD AVE
PRINCETON, IN 47670-1304
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/5/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephen Douglas McGill, CFO
(618) 263-6305
Contract Pharmacy Representative
Williams Bothers Health Care Pharmacy,Inc
JD Faulkner, Regional Pharmacy Manager
(812) 887-6945
Signed By Date
1/14/2019
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