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MD CLINICS, LLC
DSH190140 FRANKLIN MEDICAL CENTER
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Covered Entity Details
Entity Name
FRANKLIN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190140
Entity Address
2106 LOOP ROAD
WINNSBORO, LA 71295
Medicare Provider Number
190140
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MD CLINICS, LLC
Pharmacy Address
10600 INDUSTRIAL DR
MINDEN, LA 71055-5105
Pharmacy Comments
Contract Details
Approval Date
1/4/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHAEL BLAKE KRAMER, CEO
(318) 412-5265
Contract Pharmacy Representative
MD CLINICS LLC
Patricia Porter, COMPLIANCE & PHARMACY OPERATIONS
(318) 239-4860
Signed By Date
1/4/2021
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