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WILSON PHARMACY
DSH440184 Franklin Woods Community Hospital
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Covered Entity Details
Entity Name
Franklin Woods Community Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440184
Entity Address
300 MedTech Parkway
JOHNSON CITY, TN 37604
Medicare Provider Number
440184
Participating Start Date
10/1/2018
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WILSON PHARMACY
Pharmacy Address
DBA BALLAD HEALTH PHARMACY
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pharmacy Comments
11/16/2012 address update (was 525 N. State of Franklin Rd.)
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Contract Pharmacy Representative
Balad Health
Steve Kilgore, SVP, Retail and Physician Services
(423) 915-5185
Signed By Date
7/13/2018
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