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DESERT MEDICAL PHARMACY
DSH050045 EL CENTRO REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
EL CENTRO REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050045
Entity Address
1415 ROSS AVENUE
EL CENTRO, CA 92243
Medicare Provider Number
050045
Participating Start Date
10/1/2006
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
DESERT MEDICAL PHARMACY
Pharmacy Address
1600 S IMPERIAL AVE
SUITE # 12
EL CENTRO, CA 92243-4242
Pharmacy Comments
Contract Details
Approval Date
11/6/2009
Contract Begin Date
11/6/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2015
Ownership change
Contacts
Covered Entity Signing Official
KATHLEEN J. FARMER, CFO
(760) 339-7307
Contract Pharmacy Representative
KIRTI Z. SHAH, OWNER/PHARMACIST IN CHARGE
(760) 353-5130
Signed By Date
11/2/2009
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