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BANKSPHARMACY LLC
CAH361331-00 Adena Fayette Medical Center
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Covered Entity Details
Entity Name
Adena Fayette Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361331-00
Entity Address
1430 COLUMBUS AVE.
WASHINGTON COURT HOUSE, OH 43160
Medicare Provider Number
361331
Participating Start Date
8/9/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
BANKSPHARMACY LLC
Pharmacy Address
D.B.A FAYETTE PHARMACY
1500 COLUMBUS AVE
WASHINGTON COURT HOUSE, OH 43160-1767
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Trent Lemle, CFO
(740) 333-2798
Contract Pharmacy Representative
Fayette Pharmacy
Rod Banks, Owner, Pharmacy Manager
(740) 335-9900
Signed By Date
1/15/2019
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