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KERMIT PHARMACY
CAH451314-00 Winkler County Hospital District
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Covered Entity Details
Entity Name
Winkler County Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451314-00
Entity Address
821 Jeffee Drive
Kermit, TX 79745
Medicare Provider Number
451314
Participating Start Date
7/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
KERMIT PHARMACY
Pharmacy Address
810 MYER LN
KERMIT, TX 79745-7974
Pharmacy Comments
Contract Details
Approval Date
7/8/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Ownership change
Contacts
Covered Entity Signing Official
Robert A. Pascasio, Interim Administrator
(432) 586-8257
Contract Pharmacy Representative
Eva Muenzler, Owner
(432) 586-5934
Signed By Date
7/8/2015
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