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HEB PHARMACY #620
CAH451391-00 FRIO REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
FRIO REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451391-00
Entity Address
200 IH 35
PEARSALL, TX 78061
Medicare Provider Number
451391
Participating Start Date
4/1/2018
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY #620
Pharmacy Address
225 S. IH 35
PEARSALL, TX 78061
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOHN R HUGHSON, CEO
(830) 334-3617 Ext: 103
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
10/15/2020
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