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CVS PHARMACY, INC
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
CVS PHARMACY, INC
Pharmacy Address
800 CVS DR
ENNIS, TX 75119
Pharmacy Comments
Contract Details
Approval Date
10/1/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GREG REINART, CFO
(806) 364-2141 Ext: 3206
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/1/2014
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