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MDM PHARMACY SERVICES LLC - DBA NEW PHAR
SCH050279-00 Hi-Desert Memorial Health Care District
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Covered Entity Details
Entity Name
Hi-Desert Memorial Health Care District
Subdivision Name
Hi-Desert Medical Center
Type
Sole Community Hospital
340B ID
SCH050279-00
Entity Address
6601 White Feather Road
Joshua Tree, CA 92252-6607
Medicare Provider Number
050279
Participating Start Date
4/1/2013
Last Recertification Date
9/10/2015
Entity Termination Date
10/1/2015
Pharmacy Details
Pharmacy Name
MDM PHARMACY SERVICES LLC - DBA NEW PHAR
Pharmacy Address
NEW PHARMACY
57725 29 PALMS HWY
STE 209
YUCCA VALLEY, CA 92284
Pharmacy Comments
Contract Details
Approval Date
4/9/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Contacts
Covered Entity Signing Official
Robert C. Tyk, Chief Finance Officer
(760) 366-6421
Contract Pharmacy Representative
New Pharmacy
Maher Michail, Owner
(760) 228-1600
Signed By Date
4/9/2014
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