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REALO DISCOUNT DRUG STORES OF JOHNSTON C
DSH340090 Johnston Health Services Corporation
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Covered Entity Details
Entity Name
Johnston Health Services Corporation
Subdivision Name
Johnston Memorial Hospital
Type
Disproportionate Share Hospital
340B ID
DSH340090
Entity Address
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Medicare Provider Number
340090
Participating Start Date
7/1/2004
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
REALO DISCOUNT DRUG STORES OF JOHNSTON C
Pharmacy Address
601 N 8TH ST STE D
SMITHFIELD, NC 27577-4119
Pharmacy Comments
Contract Details
Approval Date
2/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charles W. Elliott Jr., CEO
(919) 938-7111
Contract Pharmacy Representative
Mitchell J. LeQuire, Vice President
(919) 934-2111
Signed By Date
1/21/2013
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