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WHITAKER DRUGS GREENVILLE
SCH010150-00 Regional Medical Center of Central Alabama
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Covered Entity Details
Entity Name
Regional Medical Center of Central Alabama
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH010150-00
Entity Address
29 LV STABLER DRIVE
GREENVILLE, AL 36037
Medicare Provider Number
010150
Participating Start Date
10/1/2019
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WHITAKER DRUGS GREENVILLE
Pharmacy Address
750 WILLOW LN STE A
GREENVILLE, AL 36037
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Harold, Chief Financial Officer
(334) 383-2211
Contract Pharmacy Representative
Whitaker Drug, LLC
Charles Whitaker, Owner
(334) 682-9990
Signed By Date
10/3/2022
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