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UNITED PHARMACY #663
CAH451377-00 REEVES COUNTY HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
REEVES COUNTY HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451377-00
Entity Address
2349 MEDICAL DRIVE
PECOS, TX 79772-7338
Medicare Provider Number
451377
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
UNITED PHARMACY #663
Pharmacy Address
2783 S CEDAR
PECOS, TX 79772
Pharmacy Comments
Contract Details
Approval Date
2/5/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
BOMI BHARUCHA, CHIEF FINANCIAL OFFICER
(432) 447-3551 Ext: 1118
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
2/5/2021
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