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CVS PHARMACY, INC.
CAH451386-00 Moore County Hospital District d/b/a Memorial Hospital
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Covered Entity Details
Entity Name
Moore County Hospital District d/b/a Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451386-00
Entity Address
224 E. Second Street
Dumas, TX 79029
Medicare Provider Number
451386
Participating Start Date
4/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA CVS/PHARMACY #4820
100 NORTH DUMAS AVENUE
DUMAS, TX 79029
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEFF Ray TURNER, CEO
(806) 935-7171
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/3/2019
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