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AVELLA OF DEER VALLEY, INC. #38
DSH070016 Saint Mary's Hospital
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Covered Entity Details
Entity Name
Saint Mary's Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH070016
Entity Address
56 Franklin Street
Waterbury, CT 06706
Medicare Provider Number
070016
Participating Start Date
4/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
AVELLA OF DEER VALLEY, INC. #38
Pharmacy Address
24416 N. 19TH AVE.
ATTEN: TERI KINZLE
PHOENIX, AZ 85085-1877
Pharmacy Comments
Contract Details
Approval Date
7/29/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer S Schneider, SVP and Chief Financial Officer
(860) 714-5360
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Sr VP of Strategic Sales
(651) 983-0677
Signed By Date
7/29/2022
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