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CVS PHARMACY, INC.
CAH451382-00 Comanche County Medical Center Company dba Comanche County Medical Center
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Covered Entity Details
Entity Name
Comanche County Medical Center Company dba Comanche County Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451382-00
Entity Address
10201 Highway 16 North
Comanche, TX 76442
Medicare Provider Number
451382
Participating Start Date
7/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 07269
1319 AUSTIN AVE
BROWNWOOD, TX 76801
Pharmacy Comments
Contract Details
Approval Date
7/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry G Troxell, Chief Executive Officer CEO
(254) 879-4900 Ext: 4468
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/9/2020
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