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KOMOTO CUSTOM CARE PHARMACY
DSH050608 Delano Regional Medical Center
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Covered Entity Details
Entity Name
Delano Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050608
Entity Address
1401 Garces Hwy
Delano, CA 93215
Medicare Provider Number
050608
Participating Start Date
4/1/2013
Last Recertification Date
9/5/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
KOMOTO CUSTOM CARE PHARMACY
Pharmacy Address
2110 TRUXTUN AVE SUITE 300
BAKERSFIELD, CA 93301
Pharmacy Comments
Contract Details
Approval Date
1/6/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Bahram Ghaffari, Executive Director
(661) 721-5201
Contract Pharmacy Representative
Patrick LeRoy, Pharmacist in Charge
(661) 716-2673
Signed By Date
1/6/2014
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