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OWENS PHARMACY #22
CAH051319-00 DIGNITY HEALTH D/B/A MERCY MEDICAL CENTER MT. SHASTA
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Covered Entity Details
Entity Name
DIGNITY HEALTH D/B/A MERCY MEDICAL CENTER MT. SHASTA
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051319-00
Entity Address
914 PINE STREET.
MOUNT SHASTA, CA 96067
Medicare Provider Number
051319
Participating Start Date
9/8/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
OWENS PHARMACY #22
Pharmacy Address
216 N MT SHASTA BLVD
MT SHASTA, CA 96067
Pharmacy Comments
Contract Details
Approval Date
1/9/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kenneth Platou, President
(530) 926-9378
Contract Pharmacy Representative
Owens Healthcare
Linda Edwards, Director of Pharmacy & Compliance
(530) 245-1343
Signed By Date
1/9/2014
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