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THE PHARMACY AT HUNT REGIONAL
DSH450352 Hunt Regional Medical Center
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Covered Entity Details
Entity Name
Hunt Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450352
Entity Address
4215 Joe Ramsey Blvd
Greenville, TX 75401
Medicare Provider Number
450352
Participating Start Date
1/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
THE PHARMACY AT HUNT REGIONAL
Pharmacy Address
4215 JOE RAMSEY BLVD E STE 220
GREENVILLE, TX 75401-7852
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lee Boles, CEO
(903) 408-1658
Contract Pharmacy Representative
ProxsysRx
Marc Calhoun, Chief Strategy Officer
(205) 623-1544
Signed By Date
10/14/2019
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