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SANITARIUM DRUG
DSH450348 FALLS COMMUNITY HOSPITAL AND CLINIC
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Covered Entity Details
Entity Name
FALLS COMMUNITY HOSPITAL AND CLINIC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450348
Entity Address
322 COLEMAN
MARLIN, TX 76661
Medicare Provider Number
450348
Participating Start Date
10/1/2004
Last Recertification Date
8/26/2015
Entity Termination Date
10/1/2015
Pharmacy Details
Pharmacy Name
SANITARIUM DRUG
Pharmacy Address
423 LIVE OAK ST
MARLIN, TX 76661
Pharmacy Comments
Contract Details
Approval Date
10/28/2011
Contract Begin Date
11/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Contacts
Covered Entity Signing Official
WILLIS REESE, ADMINISTRATOR
(254) 803-3561 Ext: 2101
Contract Pharmacy Representative
Thomas Goodrich, President
(254) 883-3541
Signed By Date
10/25/2011
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