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THE PAVILION PHARMACY
DSH340071 HARNETT HEALTH SYSTEM, INC.
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Covered Entity Details
Entity Name
HARNETT HEALTH SYSTEM, INC.
Subdivision Name
BETSY JOHNSON REGIONAL HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH340071
Entity Address
800 TILGHMAN DRIVE
DUNN, NC 28334
Medicare Provider Number
340071
Participating Start Date
10/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
THE PAVILION PHARMACY
Pharmacy Address
6387 RAMSEY ST UNIT 130
FAYETTEVILLE, NC 28311
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mike Jones, VP Support Services
(910) 892-1000 Ext: 3003
Contract Pharmacy Representative
Cape Fear Valley Health System
Amanda Wright, Director of Outpatient Pharmacy
(910) 615-1818
Signed By Date
4/13/2020
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