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ECKERD CORPORATION
DSH340008 SCOTLAND MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SCOTLAND MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340008
Entity Address
500 LAUCHWOOD DRIVE
LAURINBURG, NC 28352
Medicare Provider Number
340008
Participating Start Date
7/1/2004
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ECKERD CORPORATION
Pharmacy Address
RITE AID #11512
101 PLAZA ROAD
LAURINBURG, NC 28352
Pharmacy Comments
Contract Details
Approval Date
1/26/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/6/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GREG WOOD, PRESIDENT AND CEO
(910) 291-7000 Ext: 7501
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/26/2016
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