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HEROD DISCOUNT DRUG STORE
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
HEROD DISCOUNT DRUG STORE
Pharmacy Address
THOMAS DRUG, INC
212 W MAIN
P O BOX 419
CANTON, OK 73724-0419
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SHELLY R DUNHAM, CEO
(580) 822-4321
Contract Pharmacy Representative
Thomas Drug
Mark Kourt, Owner
(580) 886-3444
Signed By Date
1/15/2014
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