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EXACT CARE PHARMACY
CAH151333-00 PUTNAM COUNTY HOSPITAL
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Covered Entity Details
Entity Name
PUTNAM COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151333-00
Entity Address
1542 S BLOOMINGTON ST
GREENCASTLE, IN 46135-2297
Medicare Provider Number
151333
Participating Start Date
8/18/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
EXACT CARE PHARMACY
Pharmacy Address
DDCRX, LLC
2701 HIGHPOINT OAKS DR STE 100
LEWISVILLE, TX 75067-3896
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/16/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DENNIS WEATHERFORD, CEO
(765) 301-7525 Ext: 7524
Contract Pharmacy Representative
BioPlus Specialty Pharmacy, Inc.
Ryan Rushing, Vice President of 340B Programs
(512) 541-0665
Signed By Date
10/15/2021
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