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GERMAN DOBSON CVS, L.L.C.
DSH030006 TUCSON MEDICAL CENTER
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Covered Entity Details
Entity Name
TUCSON MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH030006
Entity Address
5301 E GRANT ROAD
TUCSON, AZ 85712
Medicare Provider Number
030006
Participating Start Date
4/1/2005
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
GERMAN DOBSON CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07876
3832 EAST SPEEDWAY
TUCSON, AZ 85716
Pharmacy Comments
Contract Details
Approval Date
12/20/2012
Contract Begin Date
12/20/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Wojtowicz, COO
(520) 324-3319
Contract Pharmacy Representative
CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762
Signed By Date
9/28/2012
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