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NOVANT HEALTH PHARMACY SERVICES LLC
DSH340053 Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center
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Covered Entity Details
Entity Name
Presbyterian Hospital, d/b/a Novant Health Presbyterian Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340053
Entity Address
200 HAWTHORNE LANE
CHARLOTTE, NC 28204
Medicare Provider Number
340053
Participating Start Date
4/1/2008
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
NOVANT HEALTH PHARMACY SERVICES LLC
Pharmacy Address
DBA NOVANT HEALTH PHARMACY
8401 UNIVERSITY EXEC PARK DR STE 127
CHARLOTTE, NC 28262-3330
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cedric A Terrell, SVP Pharmacy Services
(704) 384-0611
Contract Pharmacy Representative
Novant Health Pharmacy Specialty-Univerity
Brittany Meilinger, Pharmacy Supervisor
(704) 316-5902
Signed By Date
10/14/2019
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