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RANDALLS FOOD AND DRUGS LP
SCH450090-00 NORTH TEXAS MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTH TEXAS MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450090-00
Entity Address
1900 HOSPITAL BOULEVARD
GAINSVILLE, TX 76240
Medicare Provider Number
450090
Participating Start Date
4/1/2023
Last Recertification Date
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
RANDALLS FOOD AND DRUGS LP
Pharmacy Address
TOM THUMB PHARMACY #2557
206 N GRAND AVE
GAINESVILLE, TX 76240
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher Zeringue, Interim CEO
(940) 612-8616
Contract Pharmacy Representative
SAFEWAY
RONALD RICHMOND, GROUP DIRECTOR
(940) 665-0311
Signed By Date
4/16/2018
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