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BOONE'S PHARMACY
DSH010095 HALE COUNTY HOSPITAL
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Covered Entity Details
Entity Name
HALE COUNTY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010095
Entity Address
508 GREENE STREET
GREENSBORO, AL 36744
Medicare Provider Number
010095
Participating Start Date
8/3/2022
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
BOONE'S PHARMACY
Pharmacy Address
951 US HIGHWAY 80 W
DEMOPOLIS, AL 36732-4156
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Elizabeth Rayford, Chief Financial Officer
(205) 632-6569
Contract Pharmacy Representative
Hale County Hospital
Tracy Moore Fondren, Pharmacy Director
(334) 624-3024 Ext: 2019
Signed By Date
4/15/2024
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