340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MCLEOD REGIONAL MEDICAL CENTER OUTPATIEN
DSH420005 MCLEOD MEDICAL CENTER - DILLON
Print
Covered Entity Details
Entity Name
MCLEOD MEDICAL CENTER - DILLON
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420005
Entity Address
301 EAST JACKSON ST.
DILLON, SC 29536
Medicare Provider Number
420005
Participating Start Date
10/1/2006
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
MCLEOD REGIONAL MEDICAL CENTER OUTPATIEN
Pharmacy Address
501 E CHEVES ST
STE D
FLORENCE, SC 29506-2617
Pharmacy Comments
Contract Details
Approval Date
10/20/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
S. Fulton Ervin, III, Senior Vice President Finance and Chief Financial Officer
(843) 777-2917
Contract Pharmacy Representative
Kimberly Windham Joyner, Director of Outpatient Pharmacy
(843) 777-2166
Signed By Date
10/20/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session