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PLAZA PHARMACY
SCH450090-00 NORTH TEXAS MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTH TEXAS MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450090-00
Entity Address
1900 HOSPITAL BOULEVARD
GAINSVILLE, TX 76240
Medicare Provider Number
450090
Participating Start Date
4/1/2023
Last Recertification Date
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
PLAZA PHARMACY
Pharmacy Address
GAINESVILLE PLAZA PHARMACY INC
411 N GRAND AVE
GAINESVILLE, TX 76240-4323
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/26/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Randy Bacus, CEO
(940) 665-1751
Contract Pharmacy Representative
Mark Meece, President
(940) 665-8401
Signed By Date
10/11/2013
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