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MARSHFIELD CLINIC PHARMACY
CAH521323-00 Memorial Medical Center
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Covered Entity Details
Entity Name
Memorial Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521323-00
Entity Address
N3708 River Ave
Neillsville, WI 54456
Medicare Provider Number
521323
Participating Start Date
10/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MARSHFIELD CLINIC PHARMACY
Pharmacy Address
MARSHFIELD CLINIC SPECIALTY PHARMACY
1000 N OAK AVE
MARSHFIELD, WI 54449
Pharmacy Comments
Contract Details
Approval Date
10/16/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Neville, CEO
(715) 743-3101 Ext: 8449
Contract Pharmacy Representative
Marshfield Medical Center
Sarah Elizabeth Rall, Director of Pharmacy
(715) 389-3173
Signed By Date
10/16/2020
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