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PHARMACARE GEORGIANA
SCH010150-00 Regional Medical Center of Central Alabama
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Covered Entity Details
Entity Name
Regional Medical Center of Central Alabama
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH010150-00
Entity Address
29 LV STABLER DRIVE
GREENVILLE, AL 36037
Medicare Provider Number
010150
Participating Start Date
10/1/2019
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
PHARMACARE GEORGIANA
Pharmacy Address
PHARMACARE GEORGIANA
402 S MEETING AVE
GEORGIANA, AL 36033
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Ruff, CFO
(334) 383-2423
Contract Pharmacy Representative
Pharmacare Georgiana
Charles Smith, Owner
(334) 858-3291
Signed By Date
1/14/2020
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