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Children's Health Express
PED453310-00 Ascension Seton d/b/a Dell Children's Medical Center of Central Texas
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Covered Entity Details
Entity Name
Ascension Seton d/b/a Dell Children's Medical Center of Central Texas
Subdivision Name
Type
Children's Hospital
340B ID
PED453310-00
Entity Address
4900 MUELLER BOULEVARD
AUSTIN, TX 78723
Medicare Provider Number
453310
Participating Start Date
7/1/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Children's Health Express
Pharmacy Address
4900 Mueller Boulevard
Austin, TX 78723
Pharmacy Comments
Contract Details
Approval Date
7/20/2017
Contract Begin Date
7/20/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Debra M. Brown, VP-CNO & COO DCMCCT
(512) 324-0186
Contract Pharmacy Representative
Pat Garrett, Director of Network Pharmacy Operations
(512) 324-7365
Signed By Date
7/5/2017
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