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CANNON DRUG CO
DSH340075 Blue Ridge HealthCare Hospitals, Inc
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Covered Entity Details
Entity Name
Blue Ridge HealthCare Hospitals, Inc
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340075
Entity Address
2201 SOUTH STERLING STREET
MORGANTON, NC 28655
Medicare Provider Number
340075
Participating Start Date
12/6/2005
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
CANNON DRUG CO
Pharmacy Address
DBA CANNON PHARMACY
342 E PARKER RD
MORGANTON, NC 28655
Pharmacy Comments
Contract Details
Approval Date
9/10/2012
Contract Begin Date
9/10/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth W. Wood, President and CEO
(828) 580-5000
Contract Pharmacy Representative
Bruce Cannon, Owner
(828) 433-5120
Signed By Date
8/16/2012
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