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ASPERMONT PHARMACY, INC.
CAH451318-00 Stonewall Memorial Hospital
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Covered Entity Details
Entity Name
Stonewall Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451318-00
Entity Address
821 N Broadway
Aspermont, TX 79502
Medicare Provider Number
451318
Participating Start Date
7/1/2013
Last Recertification Date
8/26/2019
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
ASPERMONT PHARMACY, INC.
Pharmacy Address
616 SOUTH WASHINGTON
PO BOX 804
ASPERMONT, TX 79502-0804
Pharmacy Comments
Contract Details
Approval Date
5/1/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Andy Kolb, Administrator
(940) 989-3551 Ext: 230
Contract Pharmacy Representative
LeeAnn Hagins, Owner/President
(940) 989-2139
Signed By Date
4/3/2013
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