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JAMES PHARMACY-TURTLE LAKE
CAH521308-00 AMERY REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
AMERY REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521308-00
Entity Address
265 E GRIFFIN ST
AMERY, WI 54001
Medicare Provider Number
521308
Participating Start Date
9/20/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
JAMES PHARMACY-TURTLE LAKE
Pharmacy Address
215 MAPLE ST S
PO BOX 46
TURTLE LAKE, WI 54889-8003
Pharmacy Comments
Contract Details
Approval Date
4/16/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joyce R. Schaefer, VP Pt Care Services
(715) 268-0302
Contract Pharmacy Representative
Tom Swanson, Manager
(715) 790-2930
Signed By Date
4/16/2016
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