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SCOTTS PHARMACY #1
DSH110107 Atrium Health Navicent The Medical Center
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Covered Entity Details
Entity Name
Atrium Health Navicent The Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110107
Entity Address
777 HEMLOCK ST.
MACON, GA 31201-2102
Medicare Provider Number
110107
Participating Start Date
12/1/1992
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
SCOTTS PHARMACY #1
Pharmacy Address
635 PIO NONO AVENUE
MACON, GA 31204
Pharmacy Comments
Contract Details
Approval Date
9/6/2012
Contract Begin Date
9/6/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/23/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rhonda Perry, CFO
(478) 633-1440
Contract Pharmacy Representative
Wade W. Scott, President
(478) 742-3098
Signed By Date
9/28/2012
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