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ASCENSION SETON CENTRAL OUTPATIENT PHARM
DSH450867 Ascension Seton d/b/a Ascension Seton Northwest
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Covered Entity Details
Entity Name
Ascension Seton d/b/a Ascension Seton Northwest
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450867
Entity Address
11113 RESEARCH BLVD
AUSTIN, TX 78759-5297
Medicare Provider Number
450867
Participating Start Date
7/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
ASCENSION SETON CENTRAL OUTPATIENT PHARM
Pharmacy Address
1500 RED RIVER ST
SUITE 14052
AUSTIN, TX 78701
Pharmacy Comments
Contract Details
Approval Date
1/11/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret E. Butler, COO
(512) 324-6046
Contract Pharmacy Representative
Pat Garrett, Director of Pharmacy Operations
(512) 324-7365
Signed By Date
1/11/2016
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