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CLOVERDALE DRUGS
CAH151333-00 PUTNAM COUNTY HOSPITAL
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Covered Entity Details
Entity Name
PUTNAM COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151333-00
Entity Address
1542 S BLOOMINGTON ST
GREENCASTLE, IN 46135-2297
Medicare Provider Number
151333
Participating Start Date
8/18/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
CLOVERDALE DRUGS
Pharmacy Address
900 N MAIN ST
CLOVERDALE, IN 46120-8506
Pharmacy Comments
Contract Details
Approval Date
1/20/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DENNIS WEATHERFORD, CEO
(765) 301-7525 Ext: 7524
Contract Pharmacy Representative
Cloverdale Drugs
Kennedy Ryan, Owner
(765) 795-4100
Signed By Date
1/20/2017
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