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HILS PHARMACY
CAH261313-00 Macon County Samaritan Memorial Hospital
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Covered Entity Details
Entity Name
Macon County Samaritan Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261313-00
Entity Address
1205 N. Missouri St.
Macon, MO 63552
Medicare Provider Number
261313
Participating Start Date
10/1/2012
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HILS PHARMACY
Pharmacy Address
HILS, LLC
800 N MORLEY ST
MOBERLY, MO 65270
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/23/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jill Williams, CEO
(660) 385-8716
Contract Pharmacy Representative
Hils Pharmacy
Ann Hils, Owner
(660) 263-4457
Signed By Date
7/13/2020
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