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ARCHBOLD PINETREE PHARMACY
CAH111331-00 MITCHELL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
MITCHELL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111331-00
Entity Address
90 E STEPHENS ST
CAMILLA, GA 31730
Medicare Provider Number
111331
Participating Start Date
9/16/2010
Last Recertification Date
8/17/2024
Pharmacy Details
Pharmacy Name
ARCHBOLD PINETREE PHARMACY
Pharmacy Address
2705 E PINETREE BLVD STE F
THOMASVILLE, GA 31792-4875
Pharmacy Comments
Contract Details
Approval Date
10/16/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg S. Hembree, CFO
(229) 228-2853
Contract Pharmacy Representative
Archbold Pinetree Pharmacy
Megan Mills, Pharmacy Manager
(229) 551-2379
Signed By Date
10/16/2019
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