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BREWTON MEDICAL CENTER PHARMACY, PC
DSH010099 D W MCMILLAN MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
D W MCMILLAN MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010099
Entity Address
1301 BELLEVILLE AVENUE
BREWTON, AL 36427
Medicare Provider Number
010099
Participating Start Date
11/15/2022
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
BREWTON MEDICAL CENTER PHARMACY, PC
Pharmacy Address
DBA FLOMATON MEDICAL CENTER PHARMACY
174 HIGHWAY 113
FLOMATON, AL 36441
Pharmacy Comments
Contract Details
Approval Date
7/15/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Chris B. Griffin, Administrator
(251) 867-8061
Contract Pharmacy Representative
Semmes Pharmacy
Charles Cottrell, Owner
(251) 824-7979
Signed By Date
7/15/2014
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