340B Drug Pricing Program Database
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DSH340090M Johnston Health Services Corporation (Terminated)
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Main Details
Name
Johnston Health Services Corporation
Subdivision Name
JOHNSTON HEALTH THERAPEUTIC WOUND CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340090M
Medicare Provider Number
340090
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/19/2016
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Johnston Health Services Corporation
Ruth L Marler, COO/CNO
(919) 938-7383
Primary Contact
Johnston Health Services Corporation
David Willoughby, Director of Pharmacy Services
(919) 938-7288
Addresses
Street Address
514 N BRIGHTLEAF BOULEVARD
SUITE 1700
SMITHFIELD, NC 27577-4407
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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