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OKLAHOMA CVS PHARMACY, L.L.C.
DSH370025 SAINT FRANCIS HOSPITAL MUSKOGEE
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Covered Entity Details
Entity Name
SAINT FRANCIS HOSPITAL MUSKOGEE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370025
Entity Address
300 ROCKEFELLER DRIVE
MUSKOGEE, OK 74401
Medicare Provider Number
370025
Participating Start Date
1/1/2023
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
OKLAHOMA CVS PHARMACY, L.L.C.
Pharmacy Address
CVS/PHARMACY # 10437
304 NORTH YORK ST.
MUSKOGEE, OK 74403
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah D Dage, SRVP/Chief Financial Officer
(918) 494-8418
Contract Pharmacy Representative
CVS
Christian Reed, Sr. Director
(401) 770-2118
Signed By Date
7/7/2023
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