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HOLZER FAMILY PHARMACY-ATHENS
CAH361320-00 HOLZER MEDICAL CENTER-JACKSON
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Covered Entity Details
Entity Name
HOLZER MEDICAL CENTER-JACKSON
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361320-00
Entity Address
500 BURLINGTON ROAD
JACKSON, OH 45640
Medicare Provider Number
361320
Participating Start Date
4/1/2011
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
HOLZER FAMILY PHARMACY-ATHENS
Pharmacy Address
2131 E STATE ST
ATHENS, OH 45701-2138
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
5/2/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/25/2011
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