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HENRIETTA PHARMACY INC.
CAH451362-00 CLAY COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CLAY COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451362-00
Entity Address
310 WEST SOUTH STREET
HENRIETTA, TX 76365
Medicare Provider Number
451362
Participating Start Date
1/1/2016
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
HENRIETTA PHARMACY INC.
Pharmacy Address
HENRIETTA PHARMACY
124 N BRIDGE ST
HENRIETTA, TX 76365-2804
Pharmacy Comments
Contract Details
Approval Date
4/4/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEFF HUSKEY, CEO
(940) 235-1200
Contract Pharmacy Representative
Henrietta Pharmacy
Mark Mathews, Owner
(940) 538-4361
Signed By Date
4/4/2016
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