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BANDY'S APOTHECARY SHOPS INC.
CAH141311-00 FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141311-00
Entity Address
303 NW 11TH STREET
FAIRFIELD, IL 62837
Medicare Provider Number
141311
Participating Start Date
7/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
BANDY'S APOTHECARY SHOPS INC.
Pharmacy Address
BANDY'S PHARMACY II
310 S. MAIN STREET
PO BOX 308
WAYNE CITY, IL 62895
Pharmacy Comments
Contract Details
Approval Date
10/4/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristin Boldt, Controller
(618) 847-8244
Contract Pharmacy Representative
Bandy's
Eric Bandy, CFO
(618) 548-4000
Signed By Date
10/4/2023
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