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WILSON FAMILY PHARMACY
CAH451337-01 Lockney General Hospital District
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Covered Entity Details
Entity Name
Lockney General Hospital District
Subdivision Name
Cogdell Clinic Briscoe County - Cogdell Clinic Briscoe County
Type
Critical Access Hospital
340B ID
CAH451337-01
Entity Address
701 Commerce Street
Silverton, TX 79257
Medicare Provider Number
451337
Outpatient Facility Provider Number
458875
Participating Start Date
7/1/2019
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WILSON FAMILY PHARMACY
Pharmacy Address
WILSON FAMILY PHARMACY
701 COMMERCE ST
SILVERTON, TX 79257
Pharmacy Comments
Contract Details
Approval Date
3/21/2023
Contract Begin Date
3/22/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vincent DiFranco, CEO
(806) 652-3373 Ext: 204
Contract Pharmacy Representative
W.J. Mangold Memorial Hospital
Amos Poole, Directory of Pharmacy
(806) 652-3373 Ext: 220
Signed By Date
3/21/2023
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