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BROOKSHIRE BROTHERS PHARMACY
DSH450573 CHRISTUS JASPER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHRISTUS JASPER MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450573
Entity Address
1275 MARVIN HANCOCK DRIVE
JASPER, TX 75951
Medicare Provider Number
450573
Participating Start Date
10/1/2004
Last Recertification Date
8/15/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
BROOKSHIRE BROTHERS PHARMACY
Pharmacy Address
OF KIRBYVILLE
1005 S MARGARET AVE
KIRBYVILLE, TX 75956-2422
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/8/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nikki Martin, Regional Director, Finance
(409) 899-7105
Contract Pharmacy Representative
Brookshire Grocery
John Stogner, CFO
(903) 893-0677
Signed By Date
7/13/2023
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