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FAMILY 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
FAMILY PHARMACY
Pharmacy Address
JIM B. SPEARS INC.
1720 HILLCREST DR
P.O. BOX 1737
VERNON, TX 76384
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/14/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brent Smith, CHIEF FINANCIAL OFFICER
(580) 355-8620 Ext: 5522
Contract Pharmacy Representative
Terry Spears, Owner, PIC
(940) 552-2999
Signed By Date
4/15/2016
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