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HEALIX INFUSION THERAPY, INC.
DSH450684 MEMORIAL HERMANN NORTHEAST HOSPITAL
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Covered Entity Details
Entity Name
MEMORIAL HERMANN NORTHEAST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450684
Entity Address
18951 N. Memorial Drive
Humble, TX 77338
Medicare Provider Number
450684
Participating Start Date
9/9/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
HEALIX INFUSION THERAPY, INC.
Pharmacy Address
1075 WEST PARK ONE DRIVE
SUITE 200
SUGAR LAND, TX 77478
Pharmacy Comments
Contract Details
Approval Date
11/15/2010
Contract Begin Date
11/15/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/23/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
11/4/2010
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