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PRESCRIPTION SHOP
SCH450698-00 LAMB COUNTY HOSPITAL DBA LAMB HEALTHCARE CENTER
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Covered Entity Details
Entity Name
LAMB COUNTY HOSPITAL DBA LAMB HEALTHCARE CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450698-00
Entity Address
1500 S. SUNSET
LITTLEFIELD, TX 79339
Medicare Provider Number
450698
Participating Start Date
9/16/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
PRESCRIPTION SHOP
Pharmacy Address
LITTLEFIELD PRESCRIPTION SHOP, LLC
1506 S SUNSET AVE STE A
LITTLEFIELD, TX 79339-7933
Pharmacy Comments
04/16/2012 updated name (was Prescription Shop)
Contract Details
Approval Date
5/2/2011
Contract Begin Date
5/2/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/21/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
JO NELL WISCHKAEMPER, CEO
(806) 385-6411 Ext: 204
Contract Pharmacy Representative
MICAH PRATT, PHARMACY OWNER
(806) 385-6128
Signed By Date
4/18/2011
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