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ST JOSEPH'S MCAULEY PHARMACY
DSH050116 NORTHRIDGE HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTHRIDGE HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050116
Entity Address
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Medicare Provider Number
050116
Participating Start Date
1/1/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ST JOSEPH'S MCAULEY PHARMACY
Pharmacy Address
500 W. THOMAS ROAD
SUITE 190
PHOENIX, AZ 85013
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Taylor, Vice President of Finance/Chief Financial Officer
(818) 885-5321
Contract Pharmacy Representative
St. Joseph's Hospital and Medical Center
Greg Blank, Director of Pharmacy
(602) 406-4744
Signed By Date
4/12/2019
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