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KROGER PHARMACY #394
RRC190027-00 ST. PATRICK HOSPITAL
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Covered Entity Details
Entity Name
ST. PATRICK HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC190027-00
Entity Address
524 DR. MICHAEL DEBAKEY DRIVE
LAKE CHARLES, LA 70601
Medicare Provider Number
190027
Participating Start Date
1/10/2022
Last Recertification Date
9/11/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #394
Pharmacy Address
2010 COUNTRY CLUB RD
LAKE CHARLES, LA 70605
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
10/14/2022
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