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WHITE CROSS 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
WHITE CROSS PHARMACY
Pharmacy Address
602 MAIN ST
BRAWLEY, CA 92227-2548
Pharmacy Comments
Contract Details
Approval Date
8/1/2012
Contract Begin Date
8/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/21/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ALEX WELLS, CFO
(760) 370-3774
Contract Pharmacy Representative
Raj Rakholia, Pharmacy Manager
(760) 344-3131
Signed By Date
5/16/2012
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