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DELIVERCARERX PHARMACY LLC
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
DELIVERCARERX PHARMACY LLC
Pharmacy Address
DELIVERCARERX PHARMACY LLC
1471 E BUSINESS CENTER DR
STE 200
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Greg Shaw, CFO
(715) 748-8159
Contract Pharmacy Representative
Agape
Dave Krishna, CEO
(847) 965-1600
Signed By Date
1/16/2017
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