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SCOTT'S PHARMACY
CAH451381-00 MOTHER FRANCES HOSPITAL-WINNSBORO
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Covered Entity Details
Entity Name
MOTHER FRANCES HOSPITAL-WINNSBORO
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451381-00
Entity Address
719 WEST COKE ROAD
WINNSBORO, TX 75494
Medicare Provider Number
451381
Participating Start Date
4/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SCOTT'S PHARMACY
Pharmacy Address
PIONEER RX
211 E COKE RD
WINNSBORO, TX 75494
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
7/8/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/1/2011
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