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MACE'S PHARMACY INC
CAH511300-00 Broaddus Hospital Association, Inc. DBA Broaddus Hospital
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Covered Entity Details
Entity Name
Broaddus Hospital Association, Inc. DBA Broaddus Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511300-00
Entity Address
# 1 HEALTHCARE DRIVE
PHILIPPI, WV 26416
Medicare Provider Number
511300
Participating Start Date
10/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
MACE'S PHARMACY INC
Pharmacy Address
440 S MAIN ST
PHILIPPI, WV 26416-0015
Pharmacy Comments
Contract Details
Approval Date
7/16/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEFF POWELSON, CEO
(304) 457-8155
Contract Pharmacy Representative
Mace's Pharmacy
Ralph Mace, President
(304) 457-4233
Signed By Date
7/16/2013
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