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THE PRESBYTERIAN HOSPITAL
RRC340015-00 ROWAN REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
ROWAN REGIONAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC340015-00
Entity Address
612 MOCKSVILLE AVENUE
SALISBURY, NC 28144
Medicare Provider Number
340015
Participating Start Date
1/1/2017
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
THE PRESBYTERIAN HOSPITAL
Pharmacy Address
DBA NOVANT HEALTH PHARMACY
125 QUEENS RD STE 180
CHARLOTTE, NC 28204
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Geoffrey Gardner, SVP Finance
(336) 718-2078
Contract Pharmacy Representative
Novant Health Pharmacy Services
Amy L Wenker, Pharmacy Manager
(336) 277-0210
Signed By Date
10/14/2020
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