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MONTROSS PHARMACY INC
CAH161326-00 MADISON COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MADISON COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161326-00
Entity Address
300 W. HUTCHINGS STREET
WINTERSET, IA 50273
Medicare Provider Number
161326
Participating Start Date
9/1/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
MONTROSS PHARMACY INC
Pharmacy Address
120 N 1ST AVE
WINTERSET, IA 50273
Pharmacy Comments
Contract Details
Approval Date
4/10/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARCIA HENDRICKS, CEO
(515) 462-2373 Ext: 609
Contract Pharmacy Representative
Jeff Olson, Owner
(515) 462-2282
Signed By Date
4/10/2014
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