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BENZER PHARMACY EATONTON LLC
CAH111313-00 PUTNAM GENERAL HOSPITAL
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Covered Entity Details
Entity Name
PUTNAM GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111313-00
Entity Address
101 LAKE OCONEE PARKWAY
EATONTON, GA 31024
Medicare Provider Number
111313
Participating Start Date
8/6/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
BENZER PHARMACY EATONTON LLC
Pharmacy Address
DBA HOMETOWN PHARMACY EATONTON
228 N. JEFFERSON AVE.
EATONTON, GA 31024
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/27/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alan Horton, CEO
(706) 923-2001
Contract Pharmacy Representative
Hometown Pharmacy
Matthew Cody Fitzpatrick, Pharmacist-in-Charge
(706) 816-2879
Signed By Date
7/13/2018
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