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JAMES PHARMACY-TURTLE LAKE
CAH521353-00 Cumberland Memorial Hospital, Inc.
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Covered Entity Details
Entity Name
Cumberland Memorial Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521353-00
Entity Address
1705 16th Ave
Cumberland, WI 54829
Medicare Provider Number
521353
Participating Start Date
1/1/2013
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
JAMES PHARMACY-TURTLE LAKE
Pharmacy Address
215 MAPLE ST S
PO BOX 46
TURTLE LAKE, WI 54889-8003
Pharmacy Comments
Contract Details
Approval Date
7/3/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew Radzak, Director of Pharmacy
(715) 822-7112
Contract Pharmacy Representative
Joshua J. Prohaska, President
(715) 532-3339
Signed By Date
7/3/2017
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