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HEB PHARMACY #554
DSH450597 DEWITT MEDICAL DISTRICT DBA CUERO REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
DEWITT MEDICAL DISTRICT DBA CUERO REGIONAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450597
Entity Address
2550 N ESPLANADE ST
CUERO, TX 77954-4736
Medicare Provider Number
450597
Participating Start Date
1/1/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY #554
Pharmacy Address
1505 E. RIO GRANDE
VICTORIA, TX 77901
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alma Alexander, CFO
(361) 275-6191
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
10/9/2023
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