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GORDON DRUG COMPANY INC
DSH110150 Atrium Health Navicent Baldwin
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Covered Entity Details
Entity Name
Atrium Health Navicent Baldwin
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110150
Entity Address
821 N. COBB STREET
MILLEDGEVILLE, GA 31061
Medicare Provider Number
110150
Participating Start Date
1/1/2019
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
GORDON DRUG COMPANY INC
Pharmacy Address
240 MILLEDGEVILLE HWY
PO BOX 249
GORDON, GA 31031-3827
Pharmacy Comments
Contract Details
Approval Date
10/16/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brenda Qualls, CFO
(478) 454-3550
Contract Pharmacy Representative
Joel Stanley, VP
(478) 628-2425
Signed By Date
10/16/2013
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