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MAYO CLINIC HLTH SYS-PHARMACY & HOME MED
RRC520070-00 MCHS EAU CLAIRE HOSPITAL
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Covered Entity Details
Entity Name
MCHS EAU CLAIRE HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520070-00
Entity Address
1221 WHIPPLE STREET
EAU CLAIRE, WI 54703
Medicare Provider Number
520070
Participating Start Date
7/1/2018
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC HLTH SYS-PHARMACY & HOME MED
Pharmacy Address
1400 BELLINGER STREET
SUITE PHM 1
EAU CLAIRE, WI 54703
Pharmacy Comments
Contract Details
Approval Date
4/20/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Ownership change
Contacts
Covered Entity Signing Official
Michael Morrey, Regional Chair--Administration NWWI
(715) 464-0022
Contract Pharmacy Representative
Mayo Clinic Health System-Pharmacy & Home Medical, Inc
Michele Richmond, Director of Pharmacy
(715) 838-6423
Signed By Date
4/12/2018
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