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GARFIELD BEACH CVS, L.L.C.
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
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09108
1655 S. CENTRE CITY PKWY.
ESCONDIDO, CA 92025
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
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
10/15/2013
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