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HEB PHARMACY #671
CAH451390-00 DIMMIT REGIONAL HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
DIMMIT REGIONAL HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451390-00
Entity Address
704 HOSPITAL DRIVE
CARRIZO SPRINGS, TX 78834
Medicare Provider Number
451390
Participating Start Date
10/1/2020
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY #671
Pharmacy Address
2030 N. 1ST STREET
CARRIZO SPRINGS, TX 78834
Pharmacy Comments
Contract Details
Approval Date
8/27/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John A Graves, CEO
(830) 876-2426
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
7/15/2020
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