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FAMILY FRESH MARKET PHARMACY
CAH521345-00 Westfields Hospital
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Covered Entity Details
Entity Name
Westfields Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521345-00
Entity Address
535 Hospital Road
New Richmond, WI 54017
Medicare Provider Number
521345
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
FAMILY FRESH MARKET PHARMACY
Pharmacy Address
110 W 4TH ST
NEW RICHMOND, WI 54017
Pharmacy Comments
Contract Details
Approval Date
7/18/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Luhrs, Chief Financial Officer
(715) 243-2852
Contract Pharmacy Representative
SpartanNash
Eddie Garcia, Director of Pharmacy
(616) 878-2975
Signed By Date
7/18/2016
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