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ONCO360
CAH451387-00 Uvalde Memorial Hospital
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Covered Entity Details
Entity Name
Uvalde Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451387-00
Entity Address
1025 Garner Field Road
Uvalde, TX 78801
Medicare Provider Number
451387
Participating Start Date
7/1/2017
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ONCO360
Pharmacy Address
SINA DRUG, LLC
4700 W SAM HOUSTON PKWY N
STE 150
HOUSTON, TX 77041
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
Valerie J. Lopez, Chief Financial Officer
(830) 278-6251 Ext: 1173
Contract Pharmacy Representative
Sina Drugs
shauna barron, Director of Pharmacy
(877) 662-6633 Ext: 2001
Signed By Date
1/13/2022
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