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EXPRESS SCRIPTS
CAH341324-00 OUTER BANKS HEALTH HOSPITAL DBA
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Covered Entity Details
Entity Name
OUTER BANKS HEALTH HOSPITAL DBA
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341324-00
Entity Address
4800 S. CROATAN HWY
NAGS HEAD, NC 27959
Medicare Provider Number
341324
Participating Start Date
10/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS
Pharmacy Address
ESI MAIL PHARMACY SERVICE INC
4600 N HANLEY RD
SAINT LOUIS, MO 63134
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Todd Jeffrey Warlitner, Vice President of Finance
(252) 449-4514
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
10/12/2023
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