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CITY DRUG OF BRADY INC
CAH451348-00 MCCULLOCH COUNTY HOSPITAL DISTRICT D/B/A HEART OF TEXAS HEALTHCARE SYSTEM
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Covered Entity Details
Entity Name
MCCULLOCH COUNTY HOSPITAL DISTRICT D/B/A HEART OF TEXAS HEALTHCARE SYSTEM
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451348-00
Entity Address
2008 NINE ROAD
BRADY, TX 76825
Medicare Provider Number
451348
Participating Start Date
9/2/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CITY DRUG OF BRADY INC
Pharmacy Address
704 W 17TH
BRADY, TX 76825-6936
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Jones, CEO
(325) 597-2901 Ext: 3940
Contract Pharmacy Representative
City Drug of Brady INC
Albert Pearson, Owner
(325) 597-2325
Signed By Date
10/14/2021
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