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FIRST PHARMACY PAVILION
PED453316-00 Children’s Medical Center Plano
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Covered Entity Details
Entity Name
Children’s Medical Center Plano
Subdivision Name
Type
Children's Hospital
340B ID
PED453316-00
Entity Address
7601 Preston Road
Plano, TX 75024-3214
Medicare Provider Number
453316
Participating Start Date
4/1/2017
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
FIRST PHARMACY PAVILION
Pharmacy Address
CHILDREN'S HEALTH SYSTEMS OF TEXAS
2350 N STEMMONS FWY # F1510
DALLAS, TX 75207
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David T Berry, CHST President, System Clinical Operations
(214) 456-2143
Contract Pharmacy Representative
Children's Medical Center Dallas
David LaVecchia, Retail Pharmacy Manager
(214) 456-3212
Signed By Date
4/14/2017
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