340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CORAM ALTERNATE SITE SERVICES, INC.
CAH111328-00 Phoebe Worth Medical Center
Print
Covered Entity Details
Entity Name
Phoebe Worth Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111328-00
Entity Address
807 South Isabella Street
Sylvester, GA 31791-0545
Medicare Provider Number
111328
Participating Start Date
10/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
CORAM ALTERNATE SITE SERVICES, INC.
Pharmacy Address
DBA CORAM CVS/SPECIALTY INFUSION SERVICE
2345 WATERS DRIVE
MENDOTA HEIGHTS, MN 55120
Pharmacy Comments
Contract Details
Approval Date
7/20/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Candace Guarnieri, VP of Finance
(229) 777-3851
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/20/2020
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