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WILLARD'S MEDICAL ARTS PHARM
CAH011304-00 Choctaw General Hospital
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Covered Entity Details
Entity Name
Choctaw General Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH011304-00
Entity Address
401 Vanity Fair Lane
Butler, AL 36904
Medicare Provider Number
011304
Participating Start Date
7/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WILLARD'S MEDICAL ARTS PHARM
Pharmacy Address
313 E PUSHMATAHA ST
BUTLER, AL 36904-2015
Pharmacy Comments
Contract Details
Approval Date
4/1/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/26/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
J. W. Cowan, Administrator
(205) 459-9175
Contract Pharmacy Representative
Willard McDonald, Owner
(205) 459-3710
Signed By Date
4/1/2014
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