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KING'S PHARMACY-BEAUMONT
RRC450034-00 CHRISTUS HOSPITAL
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Covered Entity Details
Entity Name
CHRISTUS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC450034-00
Entity Address
2830 CALDER STREET
BEAUMONT, TX 77702-1048
Medicare Provider Number
450034
Participating Start Date
10/1/2018
Last Recertification Date
8/31/2020
Entity Termination Date
5/25/2021
Pharmacy Details
Pharmacy Name
KING'S PHARMACY-BEAUMONT
Pharmacy Address
3610 N MAJOR DR
BEAUMONT, TX 77713-9573
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/25/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Contract Pharmacy Representative
King's Pharmacy
Greg Hamby, Pharmacist In Charge
(409) 860-0440
Signed By Date
4/15/2019
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