Contract Pharmacy Details

J & S DRUGS INC
DSH010058 BIBB MEDICAL CENTER

Covered Entity Details

Entity Name

BIBB MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH010058

Entity Address

208 PIERSON AVENUE
CENTREVILLE, AL 35042

Medicare Provider Number

010058

Participating Start Date

7/1/2017

Last Recertification Date

8/14/2024

Pharmacy Details

Pharmacy Name

J & S DRUGS INC

Pharmacy Address

1130 WALNUT ST
CENTREVILLE, AL 35042

Pharmacy Comments

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Joseph Marchant, CEO
(205) 926-3361

Contract Pharmacy Representative

J & S Drugs
Gary Brooks, Owner
(205) 926-7621

Signed By Date

4/14/2020