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SNITEMAN PHARMACY
CAH521323-00 Memorial Medical Center
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Covered Entity Details
Entity Name
Memorial Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521323-00
Entity Address
N3708 River Ave
Neillsville, WI 54456
Medicare Provider Number
521323
Participating Start Date
10/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SNITEMAN PHARMACY
Pharmacy Address
N3708 RIVER AVE STE A
NEILLSVILLE, WI 54456-7218
Pharmacy Comments
Contract Details
Approval Date
1/8/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jodi Katzenberger, Chief Nursing Officer
(715) 743-8020
Contract Pharmacy Representative
Kristin Weiler-Nytes, Pharmacist/Owner
(715) 743-3500
Signed By Date
1/8/2014
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