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COE PHARMACY
CAH531312-00 West Park Hospital District
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Covered Entity Details
Entity Name
West Park Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531312-00
Entity Address
707 Sheridan Ave
Cody, WY 82414
Medicare Provider Number
531312
Participating Start Date
7/1/2012
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
COE PHARMACY
Pharmacy Address
424 YELLOWSTONE AVE STE 130
CODY, WY 82414-9309
Pharmacy Comments
Contract Details
Approval Date
4/6/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Douglas McMillan, CEO
(307) 578-2489
Contract Pharmacy Representative
West Park Hospital District
Catherine Brasher, Pharmacist in Charge
(307) 578-2900
Signed By Date
4/6/2018
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