Contract Pharmacy Details

ECKERD CORPORATION
DSH340071 HARNETT HEALTH SYSTEM, INC.

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

ECKERD CORPORATION

Pharmacy Address

RITE AID #11510
1721 WEST CUMBERLAND STREET
DUNN, NC 28334

Pharmacy Comments

Contract Details

Approval Date

10/15/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/31/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Vicki Allen, VP Patient Care Services, CNO
(910) 892-1000 Ext: 4104

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/15/2013

340B Drug Pricing Program Database