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MONAHANS PHARMACY
CAH451373-00 Ward Memorial Hospital
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Covered Entity Details
Entity Name
Ward Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451373-00
Entity Address
406 S Gary St
Monahans, TX 79756-0040
Medicare Provider Number
451373
Participating Start Date
7/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MONAHANS PHARMACY
Pharmacy Address
801 E 4TH ST
MONAHANS, TX 79756-4018
Pharmacy Comments
Contract Details
Approval Date
7/9/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leticia C. Rodriguez, CEO
(432) 943-2511 Ext: 176
Contract Pharmacy Representative
William Neace, PIC
(432) 943-4212
Signed By Date
7/9/2014
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