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HEB PHARMACY #110
DSH450330 OAKBEND MEDICAL CENTER
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Covered Entity Details
Entity Name
OAKBEND MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450330
Entity Address
1705 JACKSON ST
RICHMOND, TX 77469
Medicare Provider Number
450330
Participating Start Date
1/1/2024
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY #110
Pharmacy Address
8900 HWY 6
MISSOURI CITY, TX 77459
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/11/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeffrey Hammel, CFO
(281) 341-4881
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
4/16/2018
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