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HUDSON DRUG SHOP
CAH141353-00 Iroquois Memorial Hospital
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Covered Entity Details
Entity Name
Iroquois Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141353-00
Entity Address
200 E. Fairman Ave.
Watseka, IL 60970
Medicare Provider Number
141353
Participating Start Date
1/1/2024
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HUDSON DRUG SHOP
Pharmacy Address
108 N MARKET ST
PO BOX 70
PAXTON, IL 60957-1220
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shawn Bransky, Chief Financial Officer
(815) 432-7929
Contract Pharmacy Representative
Hudson Drug Shop
Andy Hudson, President
(217) 379-4858
Signed By Date
7/9/2024
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