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SENDERRA RX PHARMACY
DSH450124 Dell Seton Medical Center at The University of Texas
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Covered Entity Details
Entity Name
Dell Seton Medical Center at The University of Texas
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450124
Entity Address
1500 RED RIVER ST
AUSTIN, TX 78701
Medicare Provider Number
450124
Participating Start Date
3/11/2021
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
SENDERRA RX PHARMACY
Pharmacy Address
SENDERRA RX PARTNERS, LLC
3712 E PLANO PKWY STE 200
PLANO, TX 75074
Pharmacy Comments
Contract Details
Approval Date
7/3/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christann M Vasquez, President
(512) 324-7074
Contract Pharmacy Representative
Senderra Rx Specialty Pharmacy
Galina Davis, Manager Managed Care Strategies
(214) 446-9404
Signed By Date
7/3/2018
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