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INFOCUS PHARMACY SERVICES
CAH141302-00 Midwest Medical Center
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Covered Entity Details
Entity Name
Midwest Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141302-00
Entity Address
One Medical Center Drive
Galena, IL 61036
Medicare Provider Number
141302
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
INFOCUS PHARMACY SERVICES
Pharmacy Address
1690 ELM ST STE 200
DUBUQUE, IA 52001-3686
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Bauer, CEO
(815) 776-7266
Contract Pharmacy Representative
INFOCUS Pharmacy Services
Angela Miller, Owner
(563) 239-9151
Signed By Date
7/15/2019
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