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MCMAHAN PHARMACY SERVICES INC
CAH451379-00 CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
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Covered Entity Details
Entity Name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451379-00
Entity Address
1507 W MAIN ST
GATESVILLE, TX 76528-1024
Medicare Provider Number
451379
Participating Start Date
9/29/2010
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
MCMAHAN PHARMACY SERVICES INC
Pharmacy Address
1503 W FRONT ST
GOLDTHWAITE, TX 76844
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID BYROM, CEO
(254) 865-8251 Ext: 6300
Contract Pharmacy Representative
MCMAHAN PHARMACY
MIKE MCMAHAN, OWNER
(325) 648-2484
Signed By Date
1/15/2020
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