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PREMIER PHARMACY SERVICES
CAH051305-00 MAYERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MAYERS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051305-00
Entity Address
43563 HIGHWAY 299 EAST
FALL RIVER MILLS, CA 96028
Medicare Provider Number
051305
Participating Start Date
1/1/2021
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY SERVICES
Pharmacy Address
410 CLOVERLEAF DR
BALDWIN PARK, CA 91706
Pharmacy Comments
Contract Details
Approval Date
4/13/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher R Bjornberg, CEO
(530) 336-7519
Contract Pharmacy Representative
Premier Pharmacy Services
George Gitau, Manager, Workflow, SP Division
(714) 865-5875
Signed By Date
4/13/2023
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