340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEB PHARMACY #441
DSH450177 UVALDE COUNTY HOSPITAL AUTHORITY DBA UVALDE MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
UVALDE COUNTY HOSPITAL AUTHORITY DBA UVALDE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450177
Entity Address
1025 GARNER FIELD ROAD
UVALDE, TX 78801
Medicare Provider Number
450177
Participating Start Date
1/1/2005
Last Recertification Date
8/24/2016
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
HEB PHARMACY #441
Pharmacy Address
227 E. MAIN
UVALDE, TX 78801
Pharmacy Comments
Contract Details
Approval Date
3/11/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JAMES E. BUCKNER Jr., ADMINISTRATOR
(830) 278-6251 Ext: 1130
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
1/29/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session