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UNITED PHARMACY #534
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
UNITED PHARMACY #534
Pharmacy Address
1601 TENNESSEE
DALHART, TX 79022
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leroy Schaffner, CEO
(806) 244-4571 Ext: 8701
Contract Pharmacy Representative
Tim Purser, Director of Pharmacy
(806) 791-7410
Signed By Date
4/14/2015
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