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SENDERRA RX PHARMACY
CAH451356-00 MEMORIAL MEDICAL CENTER
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Covered Entity Details
Entity Name
MEMORIAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451356-00
Entity Address
815 N VIRGINIA STREET
PORT LAVACA, TX 77979
Medicare Provider Number
451356
Participating Start Date
9/16/2010
Last Recertification Date
9/8/2024
Pharmacy Details
Pharmacy Name
SENDERRA RX PHARMACY
Pharmacy Address
SENDERRA RX PARTNERS, LLC
3712 E PLANO PKWY STE 200
PLANO, TX 75074
Pharmacy Comments
Contract Details
Approval Date
7/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JASON ANGLIN, CEO
(361) 552-6713 Ext: 240
Contract Pharmacy Representative
Senderra Rx Specialty Pharmacy
Galina Davis, Manager Managed Care Strategies
(214) 446-9404
Signed By Date
7/9/2020
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