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THE MEDICINE CABINET OF BRUNSWICK, LLC
DSH110146 Southeast Georgia Health System Camden Campus
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Covered Entity Details
Entity Name
Southeast Georgia Health System Camden Campus
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110146
Entity Address
2000 DAN PROCTOR DRIVE
SAINT MARYS, GA 31558
Medicare Provider Number
110146
Participating Start Date
11/29/2022
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
THE MEDICINE CABINET OF BRUNSWICK, LLC
Pharmacy Address
2500 STARLING ST STE 102
BRUNSWICK, GA 31520-4266
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryon Scott Raynes, President and CEO
(912) 466-7049
Contract Pharmacy Representative
The Medicine Cabinet
Brandy Butler, COO
(912) 720-8203
Signed By Date
10/14/2024
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