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DOYLE HIGH'S THE DRUG STORE
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
DOYLE HIGH'S THE DRUG STORE
Pharmacy Address
100 S AVENUE E
HASKELL, TX 79521-5711
Pharmacy Comments
Contract Details
Approval Date
7/15/2014
Contract Begin Date
10/1/2014
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
Lonnie Meredith, Pharmacist
(940) 864-2673
Signed By Date
7/15/2014
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