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BANDY'S PHARMACY II
CAH141345-00 Salem Township Hospital
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Covered Entity Details
Entity Name
Salem Township Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141345-00
Entity Address
1201 Ricker Drive
Salem, IL 62881
Medicare Provider Number
141345
Participating Start Date
4/1/2013
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
BANDY'S PHARMACY II
Pharmacy Address
BANDY'S APOTHECARY SHOPS INC.
817 E MCCORD ST
CENTRALIA, IL 62801-3044
Pharmacy Comments
Contract Details
Approval Date
10/11/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John E. Kessler, President/CEO
(618) 548-3194 Ext: 8257
Contract Pharmacy Representative
Bandy's
Eric Bandy, CFO
(618) 548-4000
Signed By Date
10/11/2016
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