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EUBANK DRUG
CAH451385-00 Bosque County Hospital District DBA Goodall-Witcher Hospital
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Covered Entity Details
Entity Name
Bosque County Hospital District DBA Goodall-Witcher Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451385-00
Entity Address
101 Posey Avenue
Clifton, TX 76634
Medicare Provider Number
451385
Participating Start Date
10/1/2016
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
EUBANK DRUG
Pharmacy Address
1510 N BRAZOS ST
WHITNEY, TX 76692-2017
Pharmacy Comments
Contract Details
Approval Date
1/10/2017
Contract Begin Date
1/17/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Adam B. Willmann, CEO
(254) 675-8322 Ext: 7992
Contract Pharmacy Representative
Kent Eubank, Pharmacist-in-Charge
(254) 694-3314
Signed By Date
1/10/2017
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