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BOWERS PRESCRIPTION SHOP
CAH451331-00 COON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
COON MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451331-00
Entity Address
1411 DENVER AVE
DALHART, TX 79022
Medicare Provider Number
451331
Participating Start Date
4/1/2011
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
BOWERS PRESCRIPTION SHOP
Pharmacy Address
BOWERS PRESCRIPTION, LLC
121 E TEXAS BLVD
DALHART, TX 79022-4319
Pharmacy Comments
Contract Details
Approval Date
12/21/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leroy Schaffner, CEO
(806) 244-4571 Ext: 8701
Contract Pharmacy Representative
Patricia Bpwers, Owner
(806) 249-4343
Signed By Date
10/15/2012
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