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ASCENSION WISCONSIN PHARMACY, INC
CAH521313-00 ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. - DBA ASPIRUS TOMAHAWK HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. - DBA ASPIRUS TOMAHAWK HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521313-00
Entity Address
401 West Mohawk Drive
Tomahawk, WI 54487
Medicare Provider Number
521313
Participating Start Date
4/1/2012
Last Recertification Date
9/1/2021
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
ASCENSION WISCONSIN PHARMACY, INC
Pharmacy Address
DBA ASCENSION RX 701
1901 WESTWOOD CENTER BLVD
WAUSAU, WI 54401
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
1/15/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Laurie Oungst, Chief Administrative Officer
(715) 356-8560
Contract Pharmacy Representative
Ascension
Kristopher Cyr, Manager Pharmacy Operations
(262) 687-2151
Signed By Date
1/15/2021
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