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COVENANT HEALTH PHARMACY
SCH450539-00 COVENANT HOSPITAL PLAINVIEW
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Covered Entity Details
Entity Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450539-00
Entity Address
2601 DIMMITT ROAD
PLAINVIEW, TX 79072
Medicare Provider Number
450539
Participating Start Date
10/1/2013
Last Recertification Date
9/13/2024
Pharmacy Details
Pharmacy Name
COVENANT HEALTH PHARMACY
Pharmacy Address
3615 19TH ST FL MS 1081
LUBBOCK, TX 79410-1203
Pharmacy Comments
Contract Details
Approval Date
4/19/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Bryan, CFO
(806) 296-4265
Contract Pharmacy Representative
Covenant Medical Center
Dustin Smith, Pharmacy Manager
(806) 725-4761
Signed By Date
4/19/2021
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