340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WILSON FAMILY PHARMACY
CAH451337-00 Lockney General Hospital District
Print
Covered Entity Details
Entity Name
Lockney General Hospital District
Subdivision Name
dba W.J. Mangold Memorial Hospital
Type
Critical Access Hospital
340B ID
CAH451337-00
Entity Address
320 N. Main
Lockney, TX 79241
Medicare Provider Number
451337
Participating Start Date
1/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WILSON FAMILY PHARMACY
Pharmacy Address
WILSON FAMILY PHARMACY
701 COMMERCE ST
SILVERTON, TX 79257
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
10/20/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vincent DiFranco, CEO
(806) 652-3373 Ext: 204
Contract Pharmacy Representative
Wilson Family Pharmacy
Brance Wilson, Pharmacist
(806) 652-3353
Signed By Date
10/14/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session