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INFIRMARY HEALTH SPECIALTY PHARMACY
DSH010129 GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
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Covered Entity Details
Entity Name
GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010129
Entity Address
1815 HAND AVE.
BAY MINETTE, AL 36507
Medicare Provider Number
010129
Participating Start Date
7/1/2005
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
INFIRMARY HEALTH SPECIALTY PHARMACY
Pharmacy Address
7101 US HIGHWAY 90
BUILDING B, SUITE B100
DAPHNE, AL 36526
Pharmacy Comments
Contract Details
Approval Date
4/10/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2023
Ownership change
Contacts
Covered Entity Signing Official
Kenny H Breal, President
(251) 648-7673
Contract Pharmacy Representative
Gulf Health Management Services
Sim Sokom, Pharmacist in Charge
(251) 279-5455
Signed By Date
4/10/2023
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