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BAYLOR SCOTT & WHITE PHARMACY #201
CAH451374-00 Baylor Scott & White Medical Center- Taylor
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Covered Entity Details
Entity Name
Baylor Scott & White Medical Center- Taylor
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451374-00
Entity Address
305 Mallard Ln
Taylor, TX 76574
Medicare Provider Number
451374
Participating Start Date
7/1/2014
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BAYLOR SCOTT & WHITE PHARMACY #201
Pharmacy Address
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES,
425 UNIVERSITY BLVD STE 165
ROUND ROCK, TX 78665
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Tarbell, VP Operations
(512) 654-6297
Contract Pharmacy Representative
Baylor Scott & White Medical Center - Taylor
Danh T Dinh, Mgr Pharmacy
(219) 308-9738
Signed By Date
4/14/2020
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