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JOHNSON DRUG AT ARMC
CAH521308-00 AMERY REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
AMERY REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521308-00
Entity Address
265 E GRIFFIN ST
AMERY, WI 54001
Medicare Provider Number
521308
Participating Start Date
9/20/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
JOHNSON DRUG AT ARMC
Pharmacy Address
265 GRIFFIN ST E
AMERY, WI 54001-1439
Pharmacy Comments
Contract Details
Approval Date
3/15/2021
Contract Begin Date
3/15/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/16/2021
Ownership change
Contacts
Covered Entity Signing Official
Doug Edward Johnson, VP/CFO
(715) 243-2852
Contract Pharmacy Representative
Chet Johnson Drug
Matthew Johnson, President
(715) 268-8121
Signed By Date
3/15/2021
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