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KOMOTO PHARMACY
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
KOMOTO PHARMACY
Pharmacy Address
KOMOTO PHARMACY
1017 ELLINGTON ST
DELANO, CA 93215-2621
Pharmacy Comments
Contract Details
Approval Date
12/3/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/16/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tony Jackson, Chief Operating Officer, COO
(661) 326-2106
Contract Pharmacy Representative
Komoto
Brian Komoto, President & CEO
(559) 734-2896
Signed By Date
10/11/2012
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