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MERCY MALL PHARMACY
CH05903C COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
JANESVILLE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05903C
Entity Address
849 KELLOGG AVENUE
JANESVILLE, WI 53546-9939
Grant Number
H80CS00676
Participating Start Date
1/1/2007
Last Recertification Date
1/28/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
MERCY MALL PHARMACY
Pharmacy Address
1010 N WASHINGTON ST
JANESVILLE, WI 53548-1500
Pharmacy Comments
Contract Details
Approval Date
5/1/2007
Contract Begin Date
5/1/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/27/2007
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