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AMBER SPECIALTY PHARMACY
PED453302-00 CHILDREN'S MEDICAL CENTER DALLAS
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Covered Entity Details
Entity Name
CHILDREN'S MEDICAL CENTER DALLAS
Subdivision Name
Type
Children's Hospital
340B ID
PED453302-00
Entity Address
1935 MEDICAL DISTRICT DRIVE
DALLAS, TX 75235
Medicare Provider Number
453302
Participating Start Date
4/1/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
AMBER SPECIALTY PHARMACY
Pharmacy Address
AMBER ENTERPRISES INC
1301 E ARAPAHO RD, STE 103
RICHARDSON, TX 75081
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Eager, SVP Finance & CFO
(214) 456-7890
Contract Pharmacy Representative
Terri Dill, VP Managed Care
(402) 861-4926
Signed By Date
4/15/2014
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