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MOSER PHARMACY
CAH261318-00 SALEM MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SALEM MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261318-00
Entity Address
35629 HIGHWAY 72
SALEM, MO 65560-0774
Medicare Provider Number
261318
Participating Start Date
1/1/2011
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
MOSER PHARMACY
Pharmacy Address
900 S MAIN ST
SALEM, MO 65560-1639
Pharmacy Comments
Contract Details
Approval Date
2/1/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis P. Pryor, Administrator
(573) 729-5917
Contract Pharmacy Representative
Hershel Moser, Owner/President
(573) 729-3300
Signed By Date
1/15/2013
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