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WILKES APOTHECARY
CAH111325-00 WILLS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
WILLS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111325-00
Entity Address
120 GORDON STREET
WASHINGTON, GA 30673
Medicare Provider Number
111325
Participating Start Date
10/1/2014
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WILKES APOTHECARY
Pharmacy Address
D/B/A: FIEVET PHARMACY
115 E ROBERT TOOMBS AVE
P. O. BOX 626
WASHINGTON, GA 30673-1737
Pharmacy Comments
Contract Details
Approval Date
10/9/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jane L. Echols, CEO
(706) 678-9212
Contract Pharmacy Representative
Cindy Piela, CFO
(706) 678-4545
Signed By Date
10/9/2014
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