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ST JOSEPH'S MCAULEY PHARMACY
DSH040007 ST VINCENT INFIRMARY
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Covered Entity Details
Entity Name
ST VINCENT INFIRMARY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040007
Entity Address
#2 ST. VINCENT CIRCLE
ATTN: PHARMACY
LITTLE ROCK, AR 72205
Medicare Provider Number
040007
Participating Start Date
7/1/2003
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ST JOSEPH'S MCAULEY PHARMACY
Pharmacy Address
500 W. THOMAS ROAD
SUITE 190
PHOENIX, AZ 85013
Pharmacy Comments
Contract Details
Approval Date
4/16/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Shawn Barnett, Market SVP-COO-CFO
(501) 552-3571
Contract Pharmacy Representative
St. Joseph's Hospital and Medical Center
Greg Blank, Director of Pharmacy
(602) 406-4744
Signed By Date
4/16/2020
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