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GOLD STALLION, INC
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
GOLD STALLION, INC
Pharmacy Address
DBA MARINER ADVANCED PHARMACY
345 CONVENTION WAY STE C
REDWOOD CITY, CA 94063
Pharmacy Comments
Contract Details
Approval Date
4/7/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Thygerson, Chief Executive Officer
(661) 326-2102
Contract Pharmacy Representative
Gold Stallion Inc
Henry Truong, Pharmacy Director
(888) 881-9924
Signed By Date
4/7/2025
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