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KING'S PHARMACY-BEAUMONT
DSH450034 CHRISTUS HOSPITAL
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Covered Entity Details
Entity Name
CHRISTUS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450034
Entity Address
2830 CALDER STREET
BEAUMONT, TX 77702-1048
Medicare Provider Number
450034
Participating Start Date
5/25/2021
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
KING'S PHARMACY-BEAUMONT
Pharmacy Address
3610 N MAJOR DR
BEAUMONT, TX 77713-9573
Pharmacy Comments
Contract Details
Approval Date
4/7/2021
Contract Begin Date
5/28/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Contract Pharmacy Representative
King's Pharmacy
Greg Hamby, Pharmacist In Charge
(409) 860-0440
Signed By Date
4/6/2021
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