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BEACHLERS PHARMACY
CAH371301-00 PRAGUE REGIONAL MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PRAGUE REGIONAL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371301-00
Entity Address
1322 KLABZUBA AVENUE
PRAGUE, OK 74864
Medicare Provider Number
371301
Participating Start Date
7/1/2021
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
BEACHLERS PHARMACY
Pharmacy Address
1000 W MAIN ST
PRAGUE, OK 74864-4501
Pharmacy Comments
Contract Details
Approval Date
7/6/2021
Contract Begin Date
7/16/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/10/2023
Ownership change
Contacts
Covered Entity Signing Official
Kristen Winchester, Administrator
(405) 567-4922 Ext: 2228
Contract Pharmacy Representative
Beachler's Pharmacy
Melinda Fisher, Pharmacist
(405) 567-4000
Signed By Date
7/6/2021
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