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CHS PHARMACY SERVICES, INC.
DSH340021 ATRIUM HEALTH CLEVELAND
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Covered Entity Details
Entity Name
ATRIUM HEALTH CLEVELAND
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340021
Entity Address
201 EAST GROVER STREET
SHELBY, NC 28150
Medicare Provider Number
340021
Participating Start Date
10/1/2022
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CHS PHARMACY SERVICES, INC.
Pharmacy Address
D/B/A CMC RX STEELE CREEK
13640 STEELE CROFT PKWY
STE 120
CHARLOTTE, NC 28278-7565
Pharmacy Comments
Contract Details
Approval Date
10/16/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Scott Leighty, Senior Vice President
(704) 512-2414
Contract Pharmacy Representative
Atrium Health
Kim Binionrichards, Pharmacy Director
(704) 512-7637
Signed By Date
10/16/2018
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