340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KNOX COUNTY PHARMACY & SUPPLY
CAH451341-00 HASKELL MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
HASKELL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451341-00
Entity Address
1 AVENUE N
HASKELL, TX 79521-1117
Medicare Provider Number
451341
Participating Start Date
1/1/2015
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
KNOX COUNTY PHARMACY & SUPPLY
Pharmacy Address
KNOX COUNTY HOSPITAL DISTRICT
712 SOUTH EAST 5TH STREET
KNOX CITY, TX 79529-2107
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Fran McCown, CEO
(940) 864-2621 Ext: 305
Contract Pharmacy Representative
Lance Sloan, PIC
(940) 657-4036
Signed By Date
4/14/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session