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JORDAN PHARMACY
CAH451392-00 Hamilton General Hospital
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Covered Entity Details
Entity Name
Hamilton General Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451392-00
Entity Address
400 North Brown
Hamilton, TX 76531
Medicare Provider Number
451392
Participating Start Date
4/1/2019
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
JORDAN PHARMACY
Pharmacy Address
107 N RICE ST
P.O. BOX 112
HAMILTON, TX 76531-1857
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Grady Hooper, CEO
(254) 386-1950
Contract Pharmacy Representative
Jordan Pharmacy
Jan Patillo, Owner
(254) 386-3111
Signed By Date
7/12/2019
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