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ASCENSION RX 1001
RRC100292-00 SACRED HEART HOSPITAL ON THE EMERALD
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Covered Entity Details
Entity Name
SACRED HEART HOSPITAL ON THE EMERALD
Subdivision Name
Type
Rural Referral Center
340B ID
RRC100292-00
Entity Address
7800 US HIGHWAY 98 WEST
DESTIN, FL 32550
Medicare Provider Number
100292
Participating Start Date
1/1/2021
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ASCENSION RX 1001
Pharmacy Address
ASCENSION PHARMACY SERVICES, LLC.
7701 METROPOLIS DR STE 200B
AUSTIN, TX 78744-3125
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
Susan Cornejo, Chief Operating Officer
(850) 416-6206
Contract Pharmacy Representative
Ascension
Michael young, Pharm Ops
(833) 633-7279
Signed By Date
7/20/2021
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