340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TABOR DRUG
DSH370214 LINDSAY MUNICIPAL HOSPITAL AUTHORITY
Print
Covered Entity Details
Entity Name
LINDSAY MUNICIPAL HOSPITAL AUTHORITY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370214
Entity Address
1305 W Cherokee St
LINDSAY, OK 73052
Medicare Provider Number
370214
Participating Start Date
10/1/2023
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
TABOR DRUG
Pharmacy Address
225 S MAIN ST
LINDSAY, OK 73052-5633
Pharmacy Comments
Contract Details
Approval Date
7/20/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff W Walraven, CEO
(405) 756-1404 Ext: 226
Contract Pharmacy Representative
Tabor Drug
Kalyn Taber, Owner
(405) 756-4511
Signed By Date
7/17/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session