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AMERITA, INC.
RRC450237-00 CHRISTUS SANTA ROSA HEALTH SYSTEM
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Covered Entity Details
Entity Name
CHRISTUS SANTA ROSA HEALTH SYSTEM
Subdivision Name
CHRISTUS SANTA ROSA HOSPITAL MEDICAL CENTER
Type
Rural Referral Center
340B ID
RRC450237-00
Entity Address
2827 BABCOCK ROAD
SAN ANTONIO, TX 78229
Medicare Provider Number
450237
Participating Start Date
7/1/2018
Last Recertification Date
9/19/2022
Entity Termination Date
7/1/2023
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
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Linda Kirks, Regional VP/CFO
(210) 704-2624
Contract Pharmacy Representative
Amerita, Inc.
Dan Van Valkenburg, Director, 340B Program
(810) 434-2710
Signed By Date
7/9/2019
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