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PROACT PHARMACY SERVICES, INC.
CAH471301-00 GIFFORD MEDICAL CENTER
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Covered Entity Details
Entity Name
GIFFORD MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH471301-00
Entity Address
44 SOUTH MAIN STREET
RANDOLPH, VT 05060
Medicare Provider Number
471301
Participating Start Date
7/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
PROACT PHARMACY SERVICES, INC.
Pharmacy Address
1226 US HIGHWAY 11
GOUVERNEUR, NY 13642
Pharmacy Comments
Contract Details
Approval Date
12/15/2011
Contract Begin Date
1/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVID SANVILLE, CFO
(802) 728-2228
Contract Pharmacy Representative
Owen Halloran, Senior Vice President, Pharmacy Procurement
(315) 287-3600 Ext: 263
Signed By Date
12/7/2011
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