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HENDRICK PHARMACY ON AMBLER
RRC450229-00 HENDRICK MEDICAL CENTER
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Covered Entity Details
Entity Name
HENDRICK MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC450229-00
Entity Address
1900 PINE STREET
ABILENE, TX 79601-2432
Medicare Provider Number
450229
Participating Start Date
1/1/2019
Last Recertification Date
8/25/2020
Entity Termination Date
7/1/2021
Pharmacy Details
Pharmacy Name
HENDRICK PHARMACY ON AMBLER
Pharmacy Address
1265 AMBLER AVE
ABILENE, TX 79601
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jeremy Walker, Chief Financial Officer
(325) 670-2207
Contract Pharmacy Representative
HENDRICK PROFESSION PHARMACY
JOEL GREG YOUNG, PHARMACY MANAGER
(325) 670-3030
Signed By Date
1/14/2019
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