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SSM HEALTH PHARMACY
DSH370094 SSM Health St Anthony Hospital - Mid
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Covered Entity Details
Entity Name
SSM Health St Anthony Hospital - Mid
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370094
Entity Address
2825 Parklawn Drive
MIDWEST CITY, OK 73110
Medicare Provider Number
370094
Participating Start Date
4/1/2022
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
SSM HEALTH PHARMACY
Pharmacy Address
SSM HEALTH CARE OF OKLAHOMA INC.
608 NW 9TH ST STE 3200
OKLAHOMA CITY, OK 73102
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Contract Pharmacy Representative
SSM Health
Nicole Maywright, Phamaccy Team Leader
(636) 669-2223
Signed By Date
10/17/2022
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