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ORCHARD PHARMACEUTICAL SERVICES
CAH051310-00 Willits Hospital Inc., DBA Adventist Health Howard Memorial
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Covered Entity Details
Entity Name
Willits Hospital Inc., DBA Adventist Health Howard Memorial
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051310-00
Entity Address
One Marcela Drive
Willits, CA 95490-5769
Medicare Provider Number
051310
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ORCHARD PHARMACEUTICAL SERVICES
Pharmacy Address
7835 FREEDOM AVENUE
NORTH CANTON, OH 44720-6907
Pharmacy Comments
Contract Details
Approval Date
12/3/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/20/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
CARLTON Edward JACOBSON, CHIEF FINANCIAL OFFICER
(707) 456-3001
Contract Pharmacy Representative
Nick Opalich, President
(330) 498-5812
Signed By Date
10/8/2012
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