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GREGG'S PHARMACY, INC.
DSH050036 BAKERSFIELD MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
BAKERSFIELD MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050036
Entity Address
420 34TH STREET
BAKERSFIELD, CA 93301
Medicare Provider Number
050036
Participating Start Date
9/9/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
GREGG'S PHARMACY, INC.
Pharmacy Address
600-34TH ST
BAKERSFIELD, CA 93301-2208
Pharmacy Comments
Contract Details
Approval Date
12/21/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/14/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jon Van Boening, PRESIDENT
(661) 327-4647 Ext: 1820
Contract Pharmacy Representative
GREGG GUNNER, OWNER
(661) 327-9749
Signed By Date
10/11/2012
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