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MCCAMEY PHARMACY
CAH451309-00 McCamey County Hospital District
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Covered Entity Details
Entity Name
McCamey County Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451309-00
Entity Address
2500 Hwy 305 South
McCamey, TX 79752
Medicare Provider Number
451309
Participating Start Date
1/1/2012
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
MCCAMEY PHARMACY
Pharmacy Address
TEXAS SUPERIOR CARE RX, LLC
111 E 5TH ST
MC CAMEY, TX 79752
Pharmacy Comments
Contract Details
Approval Date
1/9/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jaime Ramirez, NH Administrator
(432) 652-8626 Ext: 218
Contract Pharmacy Representative
Texas Superior Care RX LLC
Olanrewaju Samuel Ayileka, owner
(281) 630-6109
Signed By Date
1/9/2019
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