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ASPIRUS PHARMACY - MEDFORD
CAH521324-00 ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
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Covered Entity Details
Entity Name
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521324-00
Entity Address
135 SOUTH GIBSON STREET
MEDFORD, WI 54451
Medicare Provider Number
521324
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ASPIRUS PHARMACY - MEDFORD
Pharmacy Address
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
139 S GIBSON ST
MEDFORD, WI 54451-1622
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
2/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/14/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LORI PECK, VP FINANCE/CFO
(715) 748-8159
Contract Pharmacy Representative
Aspirus Medford Hospital & Clinics
ROBERT MIDDLETON, PHARMACY DIRECTOR
(715) 748-8121
Signed By Date
1/25/2011
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