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THOMAS DRUG STORE
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
THOMAS DRUG STORE
Pharmacy Address
609 E. CUMBERLAND STREET
P.O. BOX 245
DUNN, NC 28334
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/3/2018
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
Paige Houston, Pharmacist
(910) 892-2114
Signed By Date
1/15/2014
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