340B Drug Pricing Program Database
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CAH451337-00 Lockney General Hospital District (Active)
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Main Details
Name
Lockney General Hospital District
Subdivision Name
dba W.J. Mangold Memorial Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451337-00
Medicare Provider Number
451337
Additional Details
Current Program Status
Active
Registration Date
9/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/24/2012
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
W.J. Mangold Memorial Hospital
Vincent DiFranco, CEO
(806) 652-3373 Ext: 204
Primary Contact
W.J. Mangold Memorial Hospital
Amos Poole, Directory of Pharmacy
(806) 652-3373 Ext: 220
Addresses
Street Address
320 N. Main
Lockney, TX 79241
Billing Address
W.J. Mangold Memorial Hospital
P.O. Box 37
Lockney, TX 79241
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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6/14/2014 - 340B ID updated with correct Medicare provider number.
06/14/2014
April 2025
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