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BANDY'S APOTHECARY SHOPS INC.
RRC140034-00 ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS
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Covered Entity Details
Entity Name
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS
Subdivision Name
Type
Rural Referral Center
340B ID
RRC140034-00
Entity Address
400 NORTH PLEASANT AVENUE
CENTRALIA, IL 62801
Medicare Provider Number
140034
Participating Start Date
4/1/2011
Last Recertification Date
9/19/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
BANDY'S APOTHECARY SHOPS INC.
Pharmacy Address
BANDY'S PHARMACY II
310 S. MAIN STREET
PO BOX 308
WAYNE CITY, IL 62895
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
5/18/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Damon Harbison, President
(618) 436-8000
Contract Pharmacy Representative
Bandy's
Eric Bandy, CFO
(618) 548-4000
Signed By Date
4/13/2020
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