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UNITED PHARMACY #525
CAH451359-00 OCHILTREE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
OCHILTREE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451359-00
Entity Address
3101 GARRETT DR
PERRYTON, TX 79070-5323
Medicare Provider Number
451359
Participating Start Date
7/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
UNITED PHARMACY #525
Pharmacy Address
2806 S MAIN ST
PERRYTON, TX 79070
Pharmacy Comments
Contract Details
Approval Date
4/10/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Edward Leroy Schaffner, CEO
(806) 435-3606 Ext: 7110
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/10/2019
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