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HEB Pharmacy #701
DSH450597 DEWITT MEDICAL DISTRICT DBA CUERO REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
DEWITT MEDICAL DISTRICT DBA CUERO REGIONAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450597
Entity Address
2550 N ESPLANADE ST
CUERO, TX 77954-4736
Medicare Provider Number
450597
Participating Start Date
1/1/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HEB Pharmacy #701
Pharmacy Address
6520 Fratt Road
San Antonio, TX 78218
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/10/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GREG PRITCHETT, CFO
(361) 275-0504
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
1/11/2019
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