340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AMERITA, INC.
DSH450082 CHRISTUS SPOHN HOSPITAL BEEVILLE
Print
Covered Entity Details
Entity Name
CHRISTUS SPOHN HOSPITAL BEEVILLE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450082
Entity Address
1500 E. HOUSTON
BEEVILLE, TX 78102
Medicare Provider Number
450082
Participating Start Date
12/16/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
AMERITA, INC.
Pharmacy Address
6015 RANDOLPH BLVD
SAN ANTONIO, TX 78233-5719
Pharmacy Comments
Contract Details
Approval Date
7/9/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Becky Rios, Interim CFO
(361) 881-3157
Contract Pharmacy Representative
Amerita, Inc.
Dan Van Valkenburg, Director, 340B Program
(810) 434-2710
Signed By Date
7/9/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session