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SAVANNAH FAMILY PHARMACY
CAH261303-00 Community Hospital Association
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Covered Entity Details
Entity Name
Community Hospital Association
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261303-00
Entity Address
26136 US HWY 59 NORTH
FAIRFAX, MO 64446
Medicare Provider Number
261303
Participating Start Date
4/1/2013
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SAVANNAH FAMILY PHARMACY
Pharmacy Address
205 S US HIGHWAY 71
SAVANNAH, MO 64485
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/3/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Julie L Jones, CEO
(660) 247-0110
Contract Pharmacy Representative
Savannah Family Pharmacy
Rebecca Rotterman, Owner & Pharmacist
(816) 324-4211
Signed By Date
10/14/2019
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