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PROFESSIONAL PHARMACY
DSH340127 GRANVILLE MEDICAL CENTER
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Covered Entity Details
Entity Name
GRANVILLE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340127
Entity Address
1010 COLLEGE STREET
OXFORD, NC 27565
Medicare Provider Number
340127
Participating Start Date
7/1/2004
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
PROFESSIONAL PHARMACY
Pharmacy Address
140 ROXBORO RD.
OXFORD, NC 27565
Pharmacy Comments
Contract Details
Approval Date
1/8/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/28/2023
Ownership change
Contacts
Covered Entity Signing Official
Jeffery M. Armstrong, CFO
(919) 690-3402
Contract Pharmacy Representative
Gary Bowman, Manager
(919) 693-8555
Signed By Date
1/16/2013
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