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AUSTIN PLAZA PHARMACY, INC
CAH261308-00 Washington County Memorial Hospital
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Covered Entity Details
Entity Name
Washington County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261308-00
Entity Address
300 Health Way
Potosi, MO 63664
Medicare Provider Number
261308
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
AUSTIN PLAZA PHARMACY, INC
Pharmacy Address
410 E HIGH ST STE A
POTOSI, MO 63664-1927
Pharmacy Comments
Contract Details
Approval Date
8/22/2012
Contract Begin Date
8/22/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leah A. Osbahr, Administrator
(573) 438-5451
Contract Pharmacy Representative
Kellie L. Tilley, President
(573) 768-1529
Signed By Date
8/1/2012
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