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TOWN & COUNTRY PHARMACIES, INC.
CAH141349-00 Sparta Community Hospital District
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Covered Entity Details
Entity Name
Sparta Community Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141349-00
Entity Address
818 East Broadway Street
Sparta, IL 62286
Medicare Provider Number
141349
Participating Start Date
1/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
TOWN & COUNTRY PHARMACIES, INC.
Pharmacy Address
TONY'S MEDICENTER PHARMACY
324 W BROADWAY
STEELEVILLE, IL 62288
Pharmacy Comments
Contract Details
Approval Date
10/8/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/28/2019
Ownership change
Contacts
Covered Entity Signing Official
Paul M. Mueller, CFO
(618) 443-2177 Ext: 1403
Contract Pharmacy Representative
EDS MEDICENTER PHARMACY
Steve Sommer, Manager Contracting & Channel Management
(618) 826-2511
Signed By Date
10/8/2015
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