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ASHLEY DRUG COMPANY, INC.
SCH110109-00 EMANUEL MEDICAL CENTER
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Covered Entity Details
Entity Name
EMANUEL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH110109-00
Entity Address
117 KITE ROAD
SWAINSBORO, GA 30401
Medicare Provider Number
110109
Participating Start Date
12/14/2021
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ASHLEY DRUG COMPANY, INC.
Pharmacy Address
D/B/A SHOPRITE PHARMACY
605 W MAIN ST
SWAINSBORO, GA 30401-3108
Pharmacy Comments
Contract Details
Approval Date
10/6/2022
Contract Begin Date
10/6/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Damien Scott, CEO
(478) 289-1306
Contract Pharmacy Representative
ShopRite Pharmacy
Ashley Dunmire Parker, Pharmacist In Charge
(478) 237-7032
Signed By Date
10/6/2022
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