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MARSHFIELD CLINIC PHARMACY
CAH521328-00 MARSHFIELD MEDICAL CENTER LADYSMITH
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Covered Entity Details
Entity Name
MARSHFIELD MEDICAL CENTER LADYSMITH
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521328-00
Entity Address
1200 Port Arthur Road
LADYSMITH, WI 54848
Medicare Provider Number
521328
Participating Start Date
10/1/2019
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
MARSHFIELD CLINIC PHARMACY
Pharmacy Address
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey Euclide, Chief Administrative Officer
(715) 532-6651 Ext: 41107
Contract Pharmacy Representative
MMC
Marni Britton, Manager-Pharmacy Services
(715) 236-8110
Signed By Date
7/15/2021
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