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CVS PHARMACY, INC.
DSH450346 BAPTIST HOSPITALS OF SOUTHEAST TEXAS DBA BAPTIST BEAUMONT HOSPITAL
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Covered Entity Details
Entity Name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS DBA BAPTIST BEAUMONT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450346
Entity Address
3080 COLLEGE STREET
BEAUMONT, TX 77701
Medicare Provider Number
450346
Participating Start Date
7/1/2004
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 07813
3595 COLLEGE ST
BEAUMONT, TX 77701
Pharmacy Comments
Contract Details
Approval Date
4/11/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gerald Bryant, Chief Nursing Officer
(409) 212-5006
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
4/11/2014
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