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HEB PHARMACY WAREHOUSE 208
CAH451390-00 DIMMIT REGIONAL HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
DIMMIT REGIONAL HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451390-00
Entity Address
704 HOSPITAL DRIVE
CARRIZO SPRINGS, TX 78834
Medicare Provider Number
451390
Participating Start Date
10/1/2020
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY WAREHOUSE 208
Pharmacy Address
H-E-B, LP
5311 DIETRICH RD STE 100
SAN ANTONIO, TX 78219
Pharmacy Comments
Contract Details
Approval Date
8/28/2023
Contract Begin Date
8/28/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Wilson, Chief Operating Officer
(830) 876-2424 Ext: 305
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
8/28/2023
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