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Presbyterian Specialty Care Pharmacy
DSH320011 ESPANOLA HOSPITAL
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Covered Entity Details
Entity Name
ESPANOLA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH320011
Entity Address
1010 SPRUCE STREET
ESPANOLA, NM 87532
Medicare Provider Number
320011
Participating Start Date
4/1/2005
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
Presbyterian Specialty Care Pharmacy
Pharmacy Address
5901 HARPER DR. NE
ALBUQUERQUE, NM 87109
Pharmacy Comments
Contract Details
Approval Date
4/29/2011
Contract Begin Date
5/16/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/7/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/15/2011
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