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CRAWFORD PHARMACY
CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
OTTO KAISER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451364-00
Entity Address
3349 S Hwy 181
KENEDY, TX 78119
Medicare Provider Number
451364
Participating Start Date
1/1/2024
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CRAWFORD PHARMACY
Pharmacy Address
CRAWFORD PHARMACY OF FLORESVILLE LLC
104 TURNER LANE
SUITE B
FLORESVILLE, TX 78114
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
8/8/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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