340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WILSON PHARMACY
DSH440184 Franklin Woods Community Hospital
Print
Covered Entity Details
Entity Name
Franklin Woods Community Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440184
Entity Address
300 MedTech Parkway
JOHNSON CITY, TN 37604
Medicare Provider Number
440184
Participating Start Date
10/1/2018
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WILSON PHARMACY
Pharmacy Address
DBA BALLAD HEALTH PHARMACY
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pharmacy Comments
11/16/2012 address update (was 525 N. State of Franklin Rd.)
Contract Details
Approval Date
7/18/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Shane Hilton, VP/CFO - Market Operations
(423) 302-3467
Contract Pharmacy Representative
MSHA
Steve Kilgore, SVP, President/CEO, BRMMC
(423) 915-5185
Signed By Date
7/18/2017
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