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THRIFT-TOWN PHARMACY
CAH191309-01 HOOD MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
HOOD MEMORIAL HOSPITAL
Subdivision Name
HOOD MEMORIAL HOSPITAL - Rural Health Clinic
Type
Critical Access Hospital
340B ID
CAH191309-01
Entity Address
409 NW CENTRAL AVE
AMITE, LA 70422-2428
Medicare Provider Number
191309
Outpatient Facility Provider Number
193985
Participating Start Date
7/1/2019
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
THRIFT-TOWN PHARMACY
Pharmacy Address
512 N 2ND ST
AMITE, LA 70422-2123
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Michael Whittington, CEO
(985) 284-2404
Contract Pharmacy Representative
Thrift-Town Healthmart Pharmacy
Ray Glasgow, Owner
(985) 748-8191
Signed By Date
4/15/2020
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