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HOUSTON METHODIST PHARMACY
DSH670077 HOUSTON METHODIST WEST HOSPITAL
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Covered Entity Details
Entity Name
HOUSTON METHODIST WEST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH670077
Entity Address
18500 KATY FWY
HOUSTON, TX 77094-1110
Medicare Provider Number
670077
Participating Start Date
10/1/2022
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
HOUSTON METHODIST PHARMACY
Pharmacy Address
13300 HARGRAVE RD STE 360
HOUSTON, TX 77070-4374
Pharmacy Comments
Contract Details
Approval Date
4/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kyle R Stanzel, VP & Chief Operating Officer
(832) 522-0300
Contract Pharmacy Representative
Houston Methodist
Daniel Metzen, System Director of Pharmacy
(713) 441-2141
Signed By Date
4/4/2023
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