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WATSON'S DRUG STORE
DSH140137 HSHS Holy Family Hospital, Inc.
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Covered Entity Details
Entity Name
HSHS Holy Family Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140137
Entity Address
200 Healthcare Drive
Greenville, IL 62246
Medicare Provider Number
140137
Participating Start Date
7/1/2012
Last Recertification Date
8/27/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
WATSON'S DRUG STORE
Pharmacy Address
WATSONS DRUG STORE
214 WEST MAIN
GREENVILLE, IL 62246-6224
Pharmacy Comments
Contract Details
Approval Date
2/21/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/17/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Tammy Lett, CNO
(618) 664-1230 Ext: 3520
Contract Pharmacy Representative
Bart J. Caldieraro, President
(618) 664-3600
Signed By Date
1/14/2013
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