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SAV-ON PHARMACY BY ALBERTSONS #6582
DSH050115 PALOMAR MEDICAL CENTER ESCONDIDO (PMC Escondido)
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Covered Entity Details
Entity Name
PALOMAR MEDICAL CENTER ESCONDIDO (PMC Escondido)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050115
Entity Address
2185 Citracado Parkway
Escondido, CA 92029
Medicare Provider Number
050115
Participating Start Date
4/1/2006
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
SAV-ON PHARMACY BY ALBERTSONS #6582
Pharmacy Address
ALBERTSONS LLC
2185 CITRACADO PARKWAY
ESCONDIDO, CA 92029
Pharmacy Comments
Contract Details
Approval Date
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/11/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert A. Hemker, CEO
(760) 740-6393
Contract Pharmacy Representative
Dan Johnson, Director, Managed Care
(208) 495-3436
Signed By Date
10/15/2013
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