340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

SOUTHEAST MEDICINE SHOP
DSH010001 SOUTHEAST HEALTH MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH010001
1108 ROSS CLARK CIRCLE
DOTHAN, AL 36301
010001
7/1/2024
8/26/2024
4/1/2025


Pharmacy Details

1108 ROSS CLARK CIRCLE
SUITE 160
DOTHAN, AL 36301

Contract Details

6/27/2024
7/1/2024

10/24/2024
Ownership change


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