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VALLEY MEDICAL PHARMACY
DSH050342 PIONEERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PIONEERS MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050342
Entity Address
207 WEST LEGION ROAD
BRAWLEY, CA 92227
Medicare Provider Number
050342
Participating Start Date
9/2/2008
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
VALLEY MEDICAL PHARMACY
Pharmacy Address
630 MAIN ST
BRAWLEY, CA 92227-2548
Pharmacy Comments
Contract Details
Approval Date
7/26/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROGER ARMSTRONG, CFO
(760) 351-3590
Contract Pharmacy Representative
Dan Vithalani, owner
(760) 344-6303
Signed By Date
7/26/2017
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