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DDP PHARMACY, INC.
DSH340151 Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital
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Covered Entity Details
Entity Name
Halifax Regional Medical Center, Inc. d/b/a ECU Health North Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340151
Entity Address
250 SMITH CHURCH ROAD
ROANOKE RAPIDS, NC 27870
Medicare Provider Number
340151
Participating Start Date
7/1/2004
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
DDP PHARMACY, INC.
Pharmacy Address
DBA DRUGCO EXPRESS
1096 E 10TH ST
ROANOKE RAPIDS, NC 27870-3052
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Harrell, President
(252) 535-8115
Contract Pharmacy Representative
Drugco Pharmacy
Drew Huggins, Chief Operating Officer
(252) 537-7010
Signed By Date
1/16/2024
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