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CVS CAREMARK
CAH141327-00 Wabash General Hospital District
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Covered Entity Details
Entity Name
Wabash General Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141327-00
Entity Address
1418 College Drive
Mt Carmel, IL 62863
Medicare Provider Number
141327
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CVS CAREMARK
Pharmacy Address
CAREMARK TEXAS MAIL PHARMACY, LLC
7034 ALAMO DOWNS PARKWAY
SAN ANTONIO, TX 78238
Pharmacy Comments
Contract Details
Approval Date
7/11/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lynn Leek, Chief Financial Officer
(618) 263-6375
Contract Pharmacy Representative
Wabash General Hospital District
Mark Len Lockard, Pharmacy Director
(618) 263-6316
Signed By Date
7/11/2023
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