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GREAT PLAINS PHARMACY
DSH370056 COMANCHE COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
COMANCHE COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370056
Entity Address
3401 W Gore Blvd
LAWTON, OK 73505
Medicare Provider Number
370056
Participating Start Date
10/1/2004
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
GREAT PLAINS PHARMACY
Pharmacy Address
GREAT PLAINS PHARMACY
3201 W GORE BLVD STE A
LAWTON, OK 73505
Pharmacy Comments
Contract Details
Approval Date
7/1/2009
Contract Begin Date
7/1/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DOUGLAS K. WEAVER, COO
(580) 585-5511
Contract Pharmacy Representative
KIM CAREL, MANAGER
(580) 585-5401
Signed By Date
6/10/2009
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