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THE DRUGSTORE
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
THE DRUGSTORE
Pharmacy Address
G&C INVESTMENTS, LLC
19 COUNTY ROAD 4114 STE 1
PITTSBURG, TX 75686-4199
Pharmacy Comments
Contract Details
Approval Date
10/3/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Warren J. Robicheaux, Sr. Administrator
(903) 946-5501
Contract Pharmacy Representative
Chuck Wilson, Owner
(903) 708-7500
Signed By Date
10/3/2016
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