340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BEYOND PHARMACY BENSON DBA
CAH031301-00 BENSON HOSPITAL
Print
Covered Entity Details
Entity Name
BENSON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH031301-00
Entity Address
450 S. OCOTILLO
BENSON, AZ 85602-2990
Medicare Provider Number
031301
Participating Start Date
7/1/2019
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
BEYOND PHARMACY BENSON DBA
Pharmacy Address
R&M PHARMACIES LLC
795 W 4TH ST
BENSON, AZ 85602
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Teresa Vincifora, COO
(520) 720-6510
Contract Pharmacy Representative
The Medicine Shoppe
Marla Trepanier, RPh
(520) 586-1299
Signed By Date
10/5/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session