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WAL-MART PHARMACY 10-3384
CAH451300-00 PARMER COUNTY COMMUNITY HOSPT. INC.
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Covered Entity Details
Entity Name
PARMER COUNTY COMMUNITY HOSPT. INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451300-00
Entity Address
1307 CLEVELAND STREET
FRIONA, TX 79035
Medicare Provider Number
451300
Participating Start Date
10/1/2014
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3384
Pharmacy Address
300 WEST 15TH STREET
HEREFORD, TX 79045
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gayla Quillin, CEO/Administrator
(806) 250-2754
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/13/2015
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