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MEDI-DRIVE PHARMACY
CAH451349-00 Swisher Memorial Healthcare System
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Covered Entity Details
Entity Name
Swisher Memorial Healthcare System
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451349-00
Entity Address
539 Southeast 2nd St
Tulia, TX 79088
Medicare Provider Number
451349
Participating Start Date
7/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MEDI-DRIVE PHARMACY
Pharmacy Address
507 23RD STREET
CANYON, TX 79015
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ryan Barnard, CEO
(806) 995-8201
Contract Pharmacy Representative
Rodney DeMoss, Owner
(806) 655-1024
Signed By Date
10/14/2014
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