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MEDIC PHARMACY & GIFTS
CAH371336-00 NEWMAN MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
NEWMAN MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371336-00
Entity Address
905 SOUTH MAIN STREET
SHATTUCK, OK 73858
Medicare Provider Number
371336
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MEDIC PHARMACY & GIFTS
Pharmacy Address
SHATTUCK PHARMACY MNGMT
1604 S MAIN ST
PO BOX 99
SHATTUCK, OK 73858
Pharmacy Comments
Contract Details
Approval Date
4/28/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph H Neely, COO
(580) 938-2551 Ext: 5504
Contract Pharmacy Representative
Laverne Pharmacy Management
Greg Bell, Pharmacist
(580) 921-3373
Signed By Date
4/14/2020
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