340B Drug Pricing Program Database
SAVE MART PHARMACY #73
DSH050192 Reedley Community Hospital dba Adventist Health Reedley - information as of 4/25/2025 9:33:31 PM
Covered Entity Details
Entity Name
Reedley Community Hospital dba Adventist Health Reedley
Subdivision Name
Reedley Community Hospital
Type
Disproportionate Share Hospital
340B ID
DSH050192
Entity Address
372 W. Cypress Ave
Reedley, CA 93654
Medicare Provider Number
050192
Participating Start Date
10/1/2013
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
SAVE MART PHARMACY #73
Pharmacy Address
105 W HANFORD-ARMONA ROAD
LEMOORE, CA 93245
Pharmacy Comments
Contract Details
Approval Date
4/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/9/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
David L. Larsen, SR VP CFO
(559) 537-0050
Contract Pharmacy Representative
Robert Vaughan, Senior Director of Pharmacy Operations
(209) 574-6220
Signed By Date
4/4/2014
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