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DOUGHERTY'S PHARMACY MCALESTER, LLC
SCH370034-00 MCALESTER REGIONAL HEALTH CENTER
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Covered Entity Details
Entity Name
MCALESTER REGIONAL HEALTH CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH370034-00
Entity Address
1 CLARK BASS BOULEVARD
MCALESTER, OK 74501
Medicare Provider Number
370034
Participating Start Date
7/1/2021
Last Recertification Date
9/12/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
DOUGHERTY'S PHARMACY MCALESTER, LLC
Pharmacy Address
622 E WYANDOTTE AVE
MCALESTER, OK 74501-5426
Pharmacy Comments
Contract Details
Approval Date
7/16/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/5/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David N. Keith, President/CEO
(918) 421-8010
Contract Pharmacy Representative
Dougherty"s Pharmacy
Bruce Landers, CEO
(918) 426-5223
Signed By Date
7/16/2021
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