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NORTH CAROLINA CVS PHARMACY, L.L.C.
DSH340071 HARNETT HEALTH SYSTEM, INC.
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Covered Entity Details
Entity Name
HARNETT HEALTH SYSTEM, INC.
Subdivision Name
BETSY JOHNSON REGIONAL HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH340071
Entity Address
800 TILGHMAN DRIVE
DUNN, NC 28334
Medicare Provider Number
340071
Participating Start Date
10/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07597
803 SOUTH MAIN ST.
LILLINGTON, NC 27546
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Tart, President
(910) 766-7102
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2025
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