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MORE THAN MEDICINE
CAH371323-00 WEATHERFORD HOSPITAL AUTHORITY
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Covered Entity Details
Entity Name
WEATHERFORD HOSPITAL AUTHORITY
Subdivision Name
WEATHERFORD REGIONAL HOSPITAL
Type
Critical Access Hospital
340B ID
CAH371323-00
Entity Address
3701 E MAIN STREET
WEATHERFORD, OK 73096
Medicare Provider Number
371323
Participating Start Date
5/9/2018
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MORE THAN MEDICINE
Pharmacy Address
WEATHERFORD PHARMACY INC
101 W MAIN ST
P O BOX 1967
WEATHERFORD, OK 73096-4939
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Darin Farrell, President
(580) 774-4750
Contract Pharmacy Representative
Weatherford Pharmacy
Mike Schmitz, Owner
(580) 772-2781
Signed By Date
4/15/2025
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