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GENESIS FIRSTMED PHARMACY
CAH141304-00 Genesis Medical Center, Aledo
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Covered Entity Details
Entity Name
Genesis Medical Center, Aledo
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141304-00
Entity Address
409 NW 9TH AVE
ALEDO, IL 61231
Medicare Provider Number
141304
Participating Start Date
9/28/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
GENESIS FIRSTMED PHARMACY
Pharmacy Address
GENVENTURES INC
105 S COLLEGE AVE
ALEDO, IL 61231-1630
Pharmacy Comments
Contract Details
Approval Date
1/9/2017
Contract Begin Date
1/10/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Edward Rogalski, Administrator
(309) 582-3700
Contract Pharmacy Representative
Jody Moeller, Manager
(563) 421-3304
Signed By Date
1/9/2017
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