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ALABAMA CVS PHARMACY, L.L.C.
DSH010112 Whitfield Regional Hospital
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Covered Entity Details
Entity Name
Whitfield Regional Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010112
Entity Address
105 US HIGHWAY 80 EAST
DEMOPOLIS, AL 36732
Medicare Provider Number
010112
Participating Start Date
4/1/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04957
312 HWY 80 EAST
DEMOPOLIS, AL 36732
Pharmacy Comments
Contract Details
Approval Date
7/10/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/27/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ARTHUR D. EVANS, CEO/ADMINISTRATOR
(334) 287-2502
Contract Pharmacy Representative
CVS Caremark
JACKLYN PARFITT, MANAGER, PAYER RELATIONS
(401) 770-6467
Signed By Date
7/10/2015
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