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HEREFORD PHARMACY
DSH450155 DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450155
Entity Address
540 West 15th Street
HEREFORD, TX 79045
Medicare Provider Number
450155
Participating Start Date
10/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
HEREFORD PHARMACY
Pharmacy Address
809 S 25 MILE AVE
HEREFORD, TX 79045-4801
Pharmacy Comments
11/15/2012 address update (was 801 EAST 3RD STREET)
Contract Details
Approval Date
7/27/2011
Contract Begin Date
7/27/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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