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ALABAMA CVS PHARMACY, L.L.C.
DSH010019 HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
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Covered Entity Details
Entity Name
HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010019
Entity Address
1300 S. MONTGOMERY AVE.
SHEFFIELD, AL 35660
Medicare Provider Number
010019
Participating Start Date
4/1/2007
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04901
1715 WOODWARD AVE.,
MUSCLE SHOALS, AL 35661
Pharmacy Comments
Contract Details
Approval Date
10/1/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/3/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MORRIS S. STRICKLAND, CFO
(256) 386-4553
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
10/1/2013
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