340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CANDLER PRESCRIPTION CENTER CORP
DSH110024 CANDLER HOSPITAL
Print
Covered Entity Details
Entity Name
CANDLER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110024
Entity Address
5353 REYNOLDS STREET
SAVANNAH, GA 31405
Medicare Provider Number
110024
Participating Start Date
10/1/2004
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CANDLER PRESCRIPTION CENTER CORP
Pharmacy Address
5354 REYNOLDS STREET
SUITE 103
SAVANNAH, GA 31405
Pharmacy Comments
Contract Details
Approval Date
7/3/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAUL P. HINCHEY, CEO
(912) 819-6901
Contract Pharmacy Representative
Candler Hospital
Jason Graham, Director of Pharmacy
(912) 819-6044
Signed By Date
7/3/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session