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DELANO FAMILY PHARMACY
CAH051301-00 Adventist Health Medical Center Tehachapi
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Covered Entity Details
Entity Name
Adventist Health Medical Center Tehachapi
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051301-00
Entity Address
1100 Magellan DR
Tehachapi, CA 93561
Medicare Provider Number
051301
Participating Start Date
10/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
DELANO FAMILY PHARMACY
Pharmacy Address
1401 GARCES HWY BLDG A
DELANO, CA 93215-3699
Pharmacy Comments
Contract Details
Approval Date
1/13/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane H Cox, Finance Officer
(661) 869-6180
Contract Pharmacy Representative
Adventist Health Delano
Terrance Monrian, Director, Pharmacy
(661) 721-5616
Signed By Date
1/13/2022
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