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MEDICAL ARTS PHARMACY (BLD)
DSH340021 ATRIUM HEALTH CLEVELAND
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Covered Entity Details
Entity Name
ATRIUM HEALTH CLEVELAND
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340021
Entity Address
201 EAST GROVER STREET
SHELBY, NC 28150
Medicare Provider Number
340021
Participating Start Date
10/1/2022
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
MEDICAL ARTS PHARMACY (BLD)
Pharmacy Address
MEDICAL ARTS PHARMACY
EDWARD VINCENT BEAM, RPH
108 E. GROVER ST
SHELBY, NC 28150-2815
Pharmacy Comments
Contract Details
Approval Date
9/28/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don McCoy Mabe, VP, Pharmacy
(704) 512-7623
Contract Pharmacy Representative
Medical Arts Pharmacy
Edward Vincent Beam, Pharmacy Owner
(704) 487-8068
Signed By Date
9/28/2022
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