340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

SOUTHEAST MEDICINE SHOP
DSH010001B SOUTHEAST HEALTH MEDICAL CENTER

Covered Entity Details

Southeast Health Wound Care
Disproportionate Share Hospital
DSH010001B
1908 Fairview Ave
Dothan, AL 36301
010001
7/1/2024
8/27/2024
4/1/2025


Pharmacy Details

1108 ROSS CLARK CIRCLE
SUITE 160
DOTHAN, AL 36301

Contract Details

6/27/2024
7/1/2024

4/1/2025
Covered Entity Terminated


Contacts


Robert Derek Miller, Senior Vice President, CFO
(334) 793-8701



Southeast Health / Southeast Medicine Shop
Joseph Drake, Outpatient Pharmacy Manager
(334) 793-8116
6/27/2024