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DCH OUTPATIENT PHARMACY
DSH010092 DCH REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
DCH REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010092
Entity Address
809 UNIVERSITY BOULEVARD EAST
TUSCALOOSA, AL 35401
Medicare Provider Number
010092
Participating Start Date
1/1/2004
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
DCH OUTPATIENT PHARMACY
Pharmacy Address
DCH PHARMACY AT DCH MEDICAL TOWER
701 UNIVERSITY BLVD E STE M04
TUSCALOOSA, AL 35401-7422
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
NINA DUSANG, CFO
(205) 759-7738
Contract Pharmacy Representative
DCH Regional Medical Center
Rosanne Austin Thurman, Corporate Director, Pharmacy
(205) 759-7944
Signed By Date
7/15/2019
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