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WILLIAMS BROS HEALTH CARE PHARMACY, INC.
SCH140147-00 RICHLAND MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
RICHLAND MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH140147-00
Entity Address
800 EAST LOCUST STREET
OLNEY, IL 62450-2958
Medicare Provider Number
140147
Participating Start Date
7/1/2018
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
WILLIAMS BROS HEALTH CARE PHARMACY, INC.
Pharmacy Address
1029 E MAIN ST
OLNEY, IL 62450-2625
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
Christina Bare, Director of Business Operations
(618) 395-6073
Contract Pharmacy Representative
Williams Bothers Health Care Pharmacy,Inc
JD Faulkner, Regional Pharmacy Manager
(812) 887-6945
Signed By Date
7/15/2019
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