340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BOONE'S PHARMACY
DSH010095 HALE COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
HALE COUNTY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010095
Entity Address
508 GREENE STREET
GREENSBORO, AL 36744
Medicare Provider Number
010095
Participating Start Date
8/3/2022
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
BOONE'S PHARMACY
Pharmacy Address
850 D TUSCALOOSA STREET
GREENSBORO, AL 36744
Pharmacy Comments
Contract Details
Approval Date
8/3/2022
Contract Begin Date
8/3/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Elizabeth Rayford, Chief Financial Officer
(205) 632-6569
Contract Pharmacy Representative
Boone's Pharmacy
Raymond Boone, Owner
(334) 289-8989
Signed By Date
7/12/2022
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