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THE MEDICINE SHOPPE
CAH151332-00 DECATUR COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
DECATUR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151332-00
Entity Address
720 NORTH LINCOLN STREET
GREENSBURG, IN 47240
Medicare Provider Number
151332
Participating Start Date
8/18/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE
Pharmacy Address
J. ACRA INC.
1015 NORTH LINCOLN STREET
GREENSBURG, IN 47240
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/5/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Simmons, President/CEO
(812) 663-1170
Contract Pharmacy Representative
Paul Cruzan, Owner
(812) 662-8550
Signed By Date
4/15/2013
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