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AMIGOS PHARMACY #508
SCH450539-00 COVENANT HOSPITAL PLAINVIEW
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Covered Entity Details
Entity Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450539-00
Entity Address
2601 DIMMITT ROAD
PLAINVIEW, TX 79072
Medicare Provider Number
450539
Participating Start Date
10/1/2013
Last Recertification Date
9/13/2024
Pharmacy Details
Pharmacy Name
AMIGOS PHARMACY #508
Pharmacy Address
2403 NORTH COLUMBIA
PLAINVIEW, TX 79072
Pharmacy Comments
Contract Details
Approval Date
7/31/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cassie Mogg, CFO
(806) 296-4265
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
7/31/2017
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