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CITY DRUG
CAH321304-00 UNION COUNTY GEN. HOSPITAL
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Covered Entity Details
Entity Name
UNION COUNTY GEN. HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321304-00
Entity Address
301 HARDING ST.
CLAYTON, NM 88415
Medicare Provider Number
321304
Participating Start Date
4/1/2019
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CITY DRUG
Pharmacy Address
7 MAIN ST
CLAYTON, NM 88415
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
4/4/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammie Stump, Chief Executive Officer
(575) 374-7002
Contract Pharmacy Representative
City Drug
Quirina Garcia, Owner
(575) 374-9121
Signed By Date
4/1/2022
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