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ALBERTSON'S, LLC
DSH450801 CHRISTUS ST MICHAEL
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Covered Entity Details
Entity Name
CHRISTUS ST MICHAEL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450801
Entity Address
2600 ST MICHAEL DRIVE
TEXARKANA, TX 75503
Medicare Provider Number
450801
Participating Start Date
4/1/2015
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ALBERTSON'S, LLC
Pharmacy Address
ALBERTSONS PHARMACY #0611
3710 STATE LINE AVE
TEXARKANA, AR 71854
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/15/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher Karam, President & CEO
(903) 614-2001
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/12/2017
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