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J & D PHARMACY INC
DSH260175J GOLDEN VALLEY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
GOLDEN VALLEY MEMORIAL HOSPITAL
Subdivision Name
CARDIOLOGY - WARSAW - RURAL HEALTH CLINIC III
Type
Disproportionate Share Hospital
340B ID
DSH260175J
Entity Address
1771 COMMERCIAL
WARSAW, MO 65355
Medicare Provider Number
260175
Outpatient Facility Provider Number
Participating Start Date
10/1/2021
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
J & D PHARMACY INC
Pharmacy Address
1330 COMMERCIAL ST
PO BOX 1599
WARSAW, MO 65355
Pharmacy Comments
Contract Details
Approval Date
1/3/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Nadler, CFO
(660) 890-7105
Contract Pharmacy Representative
J & D Pharmacy Inc
Jennifer Jelinek, Pharmacy Administrator
(604) 438-7331
Signed By Date
1/3/2023
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