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PHARMAX PHARMACY #1343
CAH261308-00 Washington County Memorial Hospital
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Covered Entity Details
Entity Name
Washington County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261308-00
Entity Address
300 Health Way
Potosi, MO 63664
Medicare Provider Number
261308
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
PHARMAX PHARMACY #1343
Pharmacy Address
INTEGRITY INC.
113 SAINT FRANCOIS PLZ
LEADINGTON, MO 63601
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra A Pratt, Chief Financial Officer
(573) 438-5451 Ext: 771
Contract Pharmacy Representative
Pharmax Partners
MIchael McIntosh, Vice President
(314) 270-9576
Signed By Date
1/15/2025
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