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CVS PHARMACY, INC.
DSH450039 Tarrant County Hospital District d/b/a JPS Health Network
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Covered Entity Details
Entity Name
Tarrant County Hospital District d/b/a JPS Health Network
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450039
Entity Address
1500 S Main Street
FORT WORTH, TX 76104
Medicare Provider Number
450039
Participating Start Date
8/1/1993
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 07292
1101 EAST HIGHWAY 377
GRANBURY, TX 76048
Pharmacy Comments
Contract Details
Approval Date
1/24/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Scott Duncan, President, CEO JPS Health Network
(817) 702-2318
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/24/2022
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