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QUALITY PHARMACY INC
CAH451376-00 LAVACA MEDICAL CENTER
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Covered Entity Details
Entity Name
LAVACA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451376-00
Entity Address
1400 N TEXANA
HALLETTSVILLE, TX 77964-2021
Medicare Provider Number
451376
Participating Start Date
9/30/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
QUALITY PHARMACY INC
Pharmacy Address
408 N AVENUE B
P.O.BOX 697
SHINER, TX 77984-7126
Pharmacy Comments
Contract Details
Approval Date
10/16/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
STEVE BOWEN, ADMINISTRATOR
(361) 798-3671 Ext: 1207
Contract Pharmacy Representative
Mohrmann's Drug Store
Ray Raley, Owner
(830) 857-0881
Signed By Date
10/16/2020
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