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PARKER DRUG
CAH451367-00 ETMC PITTSBURG
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Covered Entity Details
Entity Name
ETMC PITTSBURG
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451367-00
Entity Address
2701 US HIGHWAY 271 NORTH
PITTSBURG, TX 75686
Medicare Provider Number
451367
Participating Start Date
8/24/2010
Last Recertification Date
11/7/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
PARKER DRUG
Pharmacy Address
114 QUITMAN ST
PITTSBURG, TX 75686-1322
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/17/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Perry W. Henderson, Senior Administrator
(903) 946-5501
Contract Pharmacy Representative
Stephen Parker, Owner
(903) 856-3626
Signed By Date
1/14/2013
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