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HENDRICK PHARMACY ON AMBLER
DSH450587 HENDRICK MEDICAL CENTER BROWNWOOD
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Covered Entity Details
Entity Name
HENDRICK MEDICAL CENTER BROWNWOOD
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450587
Entity Address
1501 BURNETT RD
BROWNWOOD, TX 76804
Medicare Provider Number
450587
Participating Start Date
10/1/2022
Last Recertification Date
8/20/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
HENDRICK PHARMACY ON AMBLER
Pharmacy Address
1265 AMBLER AVE
ABILENE, TX 79601
Pharmacy Comments
Contract Details
Approval Date
8/24/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Erich Wallschlaeger, Chief Financial Officer
(325) 649-3305
Contract Pharmacy Representative
HENDRICK PROFESSION PHARMACY
JOEL GREG YOUNG, PHARMACY MANAGER
(325) 670-3030
Signed By Date
7/7/2022
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