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LUCKIE DRUG
CAH371327-00 OKEENE MUNICIPAL HOSPITAL
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Covered Entity Details
Entity Name
OKEENE MUNICIPAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371327-00
Entity Address
207 EAST F STREET
OKEENE, OK 73763
Medicare Provider Number
371327
Participating Start Date
9/16/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
LUCKIE DRUG
Pharmacy Address
116 N MAIN ST
OKEENE, OK 73763-9446
Pharmacy Comments
Contract Details
Approval Date
4/10/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/22/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SHELLY R DUNHAM, CEO
(580) 822-4321
Contract Pharmacy Representative
Luckie Drug
Jim Luckie, Owner & Pharmacist
(580) 822-3789
Signed By Date
4/10/2013
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