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ROSEBUD PHARMACY
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
ROSEBUD PHARMACY
Pharmacy Address
112 NORTH 4TH ST.
P.O. BOX 1089
ROSEBUD, TX 76570
Pharmacy Comments
Contract Details
Approval Date
6/11/2012
Contract Begin Date
6/11/2012
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
James Hailey, Owner
(254) 583-2727
Signed By Date
6/1/2012
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