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PRN PHARMACIES LTD
SCH140210-00 HARRISBURG MEDICAL CENTER INC.
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Covered Entity Details
Entity Name
HARRISBURG MEDICAL CENTER INC.
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH140210-00
Entity Address
100 DR WARREN TUTTLE DRIVE
HARRISBURG, IL 62946
Medicare Provider Number
140210
Participating Start Date
1/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
PRN PHARMACIES LTD
Pharmacy Address
DBA MEDICINE SHOPPE #0503
304 S COMMERCIAL ST
HARRISBURG, IL 62946
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Warren Ladner, CFO
(618) 457-5200 Ext: 67130
Contract Pharmacy Representative
Medicine Shoppe
Brad Ledbetter, Vice President
(618) 252-5349
Signed By Date
4/11/2025
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