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LOCAL HEALTH, LLC
SCH140001-00 GRAHAM HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
GRAHAM HOSPITAL ASSOCIATION
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH140001-00
Entity Address
210 W. Walnut Street
Canton, IL 61520
Medicare Provider Number
140001
Participating Start Date
7/1/2015
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
LOCAL HEALTH, LLC
Pharmacy Address
DBA ELMWOOD PHARMACY
108 E. MAIN STREET P.O. BOX 167
ELMWOOD, IL 61529-7963
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Holly Henline, VP of Ancillary Services & Corporate Compliance Officer
(309) 647-5240 Ext: 2709
Contract Pharmacy Representative
OneroRx dba Local Health Pharmacy
Michael Wolnerman, RPh, CCIM
(515) 829-0406
Signed By Date
10/13/2021
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