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GARFIELD BEACH CVS, L.L.C.
CAH051337-00 HAZEL HAWKINS MEM. HOSPITAL
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Covered Entity Details
Entity Name
HAZEL HAWKINS MEM. HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051337-00
Entity Address
911 SUNSET DRIVE
HOLLISTER, CA 95023
Medicare Provider Number
051337
Participating Start Date
10/1/2021
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16360
1790 AIRLINE HWY
HOLLISTER, CA 95023
Pharmacy Comments
Contract Details
Approval Date
7/20/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARK ROBINSON, CFO
(831) 636-2604
Contract Pharmacy Representative
Wellpartner
Jen Jagodzinski, Sr. Director
(401) 770-2118
Signed By Date
7/15/2021
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