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PHARMAX PHARMACY #1302
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
PHARMAX PHARMACY #1302
Pharmacy Address
PHARMAX INC.
610 E HIGH ST
POTOSI, MO 63664-1406
Pharmacy Comments
Contract Details
Approval Date
9/14/2012
Contract Begin Date
9/14/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leah A. Osbahr, Administrator
(573) 438-5451
Contract Pharmacy Representative
Larry McIntosh, President
(573) 431-8575
Signed By Date
8/31/2012
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