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HENDRICK PHARMACY ON AMBLER
DSH450229 HENDRICK MEDICAL CENTER
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Covered Entity Details
Entity Name
HENDRICK MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450229
Entity Address
1900 Pine Street
ABILENE, TX 79601-2432
Medicare Provider Number
450229
Participating Start Date
10/1/2022
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HENDRICK PHARMACY ON AMBLER
Pharmacy Address
1265 AMBLER AVE
ABILENE, TX 79601
Pharmacy Comments
Contract Details
Approval Date
8/4/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Ownership change
Contacts
Covered Entity Signing Official
Jeremy Walker, Chief Financial Officer
(325) 670-2207
Contract Pharmacy Representative
HENDRICK PROFESSION PHARMACY
JOEL GREG YOUNG, PHARMACY MANAGER
(325) 670-3030
Signed By Date
7/13/2022
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