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DENVER CITY PHARMACY
CAH451308-00 YOAKUM COUNTY HOSPITAL
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Covered Entity Details
Entity Name
YOAKUM COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451308-00
Entity Address
412 MUSTANG AVE
DENVER CITY, TX 79323
Medicare Provider Number
451308
Participating Start Date
8/12/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
DENVER CITY PHARMACY
Pharmacy Address
TD HEALTHCARE, LLC
105 E BROADWAY ST
DENVER CITY, TX 79323-3225
Pharmacy Comments
Contract Details
Approval Date
12/3/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Ekrem, CEO
(806) 592-2121
Contract Pharmacy Representative
David Fung, PIC
(806) 592-3333
Signed By Date
10/15/2012
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