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PREFERRED 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
PREFERRED PHARMACY
Pharmacy Address
1601 N IMPERIAL AVE STE B
EL CENTRO, CA 92243
Pharmacy Comments
Contract Details
Approval Date
10/1/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ALEX WELLS, CFO
(760) 370-3774
Contract Pharmacy Representative
BP Mukhi Inc
Bhavik Patel, Owner
(760) 592-4650
Signed By Date
10/1/2015
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