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STEWART PHARMACY, LLC
SCH460019-00 Uintah Basin Medical Center
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Covered Entity Details
Entity Name
Uintah Basin Medical Center
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH460019-00
Entity Address
250 West 300 North
Roosevelt, UT 84066
Medicare Provider Number
460019
Participating Start Date
7/1/2012
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
STEWART PHARMACY, LLC
Pharmacy Address
DBA: STEWARTS BASIN FAMILY PHARMACY
245 W HIGHWAY 40
ROOSEVELT, UT 84066
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brent Hales, CFO
(435) 722-6164
Contract Pharmacy Representative
Stewart Pharmacy, LLC
Tyson Stewart, Chief Operating Officer
(435) 722-2454
Signed By Date
4/12/2021
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