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REGIONAL PHARMACY
CAH451345-00 Crosbyton Clinic Hospital
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Covered Entity Details
Entity Name
Crosbyton Clinic Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451345-00
Entity Address
710 West Main Street
Crosbyton, TX 79322
Medicare Provider Number
451345
Participating Start Date
1/1/2012
Last Recertification Date
8/21/2019
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
REGIONAL PHARMACY
Pharmacy Address
622 W MAIN ST
CROSBYTON, TX 79322-2243
Pharmacy Comments
Contract Details
Approval Date
4/30/2012
Contract Begin Date
4/30/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Debra Miller, Administrator
(806) 675-8700
Contract Pharmacy Representative
Regional Pharmacy
Terry Patel, Owner
(806) 675-1234
Signed By Date
4/24/2012
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