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KERMIT PHARMACY
CAH451314-00 Winkler County Hospital District
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Covered Entity Details
Entity Name
Winkler County Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451314-00
Entity Address
821 Jeffee Drive
Kermit, TX 79745
Medicare Provider Number
451314
Participating Start Date
7/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
KERMIT PHARMACY
Pharmacy Address
810 MYER LN
KERMIT, TX 79745-7974
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Lorenzo Serrano, Administrator
(432) 448-0322
Contract Pharmacy Representative
Kermit Pharmacy
Hiren Darji, Owner
(432) 586-2556
Signed By Date
10/12/2018
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