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KELLER COMMUNITY PHARMACY
DSH010019 HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
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Covered Entity Details
Entity Name
HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010019
Entity Address
1300 S. MONTGOMERY AVE.
SHEFFIELD, AL 35660
Medicare Provider Number
010019
Participating Start Date
4/1/2007
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
KELLER COMMUNITY PHARMACY
Pharmacy Address
PO BOX 610
1300 S. MONTGOMERY AVE
SHEFFIELD, AL 35660
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Penny Westmoreland, CFO
(256) 386-4550
Contract Pharmacy Representative
Keller Community Pharmacy
Chris Richardson, Manager
(256) 386-4600
Signed By Date
4/13/2020
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