340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BROOKSHIRE PHARMACY
CAH451382-00 Comanche County Medical Center Company dba Comanche County Medical Center
Print
Covered Entity Details
Entity Name
Comanche County Medical Center Company dba Comanche County Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451382-00
Entity Address
10201 Highway 16 North
Comanche, TX 76442
Medicare Provider Number
451382
Participating Start Date
7/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
BROOKSHIRE PHARMACY
Pharmacy Address
900 FM 3220
CLIFTON, TX 76634
Pharmacy Comments
Contract Details
Approval Date
7/4/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/10/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry G Troxell, Chief Executive Officer CEO
(254) 879-4900 Ext: 4468
Contract Pharmacy Representative
Brookshires
W Mark Sullivan, Pharmacy Operations
(903) 877-6852
Signed By Date
7/4/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session