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GRINNELL PRESCRIPTION SHOP
SCH370153-00 ELKVIEW GENERAL HOSPITAL
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Covered Entity Details
Entity Name
ELKVIEW GENERAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH370153-00
Entity Address
429 ELM
HOBART, OK 73654-0633
Medicare Provider Number
370153
Participating Start Date
10/1/2022
Last Recertification Date
8/25/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
GRINNELL PRESCRIPTION SHOP
Pharmacy Address
304 SOUTH BROADWAY
HOBART, OK 73651
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Lisa Hart, CEO
(580) 726-1962
Contract Pharmacy Representative
Grinnell Prescription Shop
Steve Miller, Pharmacist
(580) 726-2206
Signed By Date
4/17/2023
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