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CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
DSH240106 REGIONS HOSPITAL
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Covered Entity Details
Entity Name
REGIONS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240106
Entity Address
640 JACKSON ST.
ST. PAUL, MN 55101
Medicare Provider Number
240106
Participating Start Date
12/1/1992
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
Pharmacy Address
CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
HEIDI CONRAD, CFO
(651) 254-0900
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2021
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