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GERMAN DOBSON CVS, L.L.C.
CAH031314-00 Cobre Valley Regional Medical Center
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Covered Entity Details
Entity Name
Cobre Valley Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH031314-00
Entity Address
5880 S. Hospital Drive
Globe, AZ 85501
Medicare Provider Number
031314
Participating Start Date
7/1/2012
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
GERMAN DOBSON CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #11144
100 NORTH BROAD ST.
GLOBE, AZ 85501
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/25/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Neal Jensen, CEO
(928) 402-1122
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2017
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