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RIVER MEDICAL PHARMACY LLC
CAH151329-00 MARGARET MARY COMMUNITY HOSPITAL, INC.
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Covered Entity Details
Entity Name
MARGARET MARY COMMUNITY HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151329-00
Entity Address
321 MITCHELL AVE
BATESVILLE, IN 47006-0226
Medicare Provider Number
151329
Participating Start Date
9/28/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
RIVER MEDICAL PHARMACY LLC
Pharmacy Address
4752 RESEARCH DR
SAN ANTONIO, TX 78240-5002
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian Daeger, COO
(812) 933-5135
Contract Pharmacy Representative
Margaret Mary Community Hospital, Inc.
Josh Yatsko, Pharmacy Manager
(812) 933-5286
Signed By Date
1/14/2025
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