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MARINER ADVANCED PHARMACY CORP
DSH050315 KERN MEDICAL CENTER
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Covered Entity Details
Entity Name
KERN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050315
Entity Address
1700 MT. VERNON AVE.
BAKERSFIELD, CA 93306
Medicare Provider Number
050315
Participating Start Date
10/1/1995
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MARINER ADVANCED PHARMACY CORP
Pharmacy Address
43 E 3RD AVE
SAN MATEO, CA 94401
Pharmacy Comments
Contract Details
Approval Date
7/22/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Scott Thygerson, Chief Executive Officer
(661) 326-2102
Contract Pharmacy Representative
Mariner Advanced Pharmacy
Henry Truong, Pharmacy Director
(650) 579-5678
Signed By Date
7/22/2024
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