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ECU PHARMACY
DSH340040 PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER
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Covered Entity Details
Entity Name
PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340040
Entity Address
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Medicare Provider Number
340040
Participating Start Date
4/1/2003
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
ECU PHARMACY
Pharmacy Address
517 MOYE BLVD
ECU SCHOOL OF MEDICINE
GREENVILLE, NC 27834-2849
Pharmacy Comments
Contract Details
Approval Date
4/19/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian Floyd, President
(252) 847-5949
Contract Pharmacy Representative
East Carolina University
Todd Jackson, PharmD, Director, BSOM ECU Pharmacy Services
(252) 744-5990
Signed By Date
4/19/2023
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