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PLUM STREET PHARMACY LLC
CAH141326-00 Hamilton Memorial Hospital District
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Covered Entity Details
Entity Name
Hamilton Memorial Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141326-00
Entity Address
611. S. Marshall Avenue
McLeansboro, IL 62859
Medicare Provider Number
141326
Participating Start Date
7/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
PLUM STREET PHARMACY LLC
Pharmacy Address
311 PLUM ST
CARMI, IL 62821
Pharmacy Comments
Contract Details
Approval Date
10/13/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kent Mitchell, Chief Financial Officer
(618) 643-2361 Ext: 2490
Contract Pharmacy Representative
Plum Street Pharmacy
Andy Gee, Owner
(618) 382-3784
Signed By Date
10/13/2016
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