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STILWELL PHARMACY INC
DSH370178 ADAIR COUNTY HEALTH CENTER
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Covered Entity Details
Entity Name
ADAIR COUNTY HEALTH CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370178
Entity Address
1401 W. Locust Street
STILWELL, OK 74960
Medicare Provider Number
370178
Participating Start Date
4/1/2015
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
STILWELL PHARMACY INC
Pharmacy Address
202 S 2ND ST
STILWELL, OK 74960
Pharmacy Comments
Contract Details
Approval Date
4/8/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alan Adams, Chief Executive Officer
(918) 696-3101
Contract Pharmacy Representative
STILWELL PHARMACY INC
Mike Pinkerton, Owner
(918) 696-2500
Signed By Date
4/8/2015
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