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ROGER'S PHARMACY INC
DSH450221 MOORE COUNTY HOSPITAL DISTRICT DBA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MOORE COUNTY HOSPITAL DISTRICT DBA MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450221
Entity Address
224 EAST 2ND STREET
DUMAS, TX 79029
Medicare Provider Number
450221
Participating Start Date
7/1/2009
Last Recertification Date
11/29/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
ROGER'S PHARMACY INC
Pharmacy Address
1021 E 1ST ST
DUMAS, TX 79029-7902
Pharmacy Comments
Contract Details
Approval Date
8/8/2011
Contract Begin Date
8/8/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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