340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COTTRELL'S HOMETOWN PHARMACY PC
DSH010099 D W MCMILLAN MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
D W MCMILLAN MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010099
Entity Address
1301 BELLEVILLE AVENUE
BREWTON, AL 36427
Medicare Provider Number
010099
Participating Start Date
11/15/2022
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
COTTRELL'S HOMETOWN PHARMACY PC
Pharmacy Address
DBA COTTRELL'S HOMETOWN PHARMACY
305 FORREST AVE
EAST BREWTON, AL 36426
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Chris B. Griffin, Administrator
(251) 867-8061
Contract Pharmacy Representative
Semmes Pharmacy
Charles Cottrell, Owner
(251) 824-7979
Signed By Date
4/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session