340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CARTERS DRUG STORE
DSH440102 HH Health System - Lincoln, Inc.
Print
Covered Entity Details
Entity Name
HH Health System - Lincoln, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440102
Entity Address
106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
Medicare Provider Number
440102
Participating Start Date
10/1/2004
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
CARTERS DRUG STORE
Pharmacy Address
106 ELK AVE S
FAYETTEVILLE, TN 37334-3733
Pharmacy Comments
Contract Details
Approval Date
6/21/2012
Contract Begin Date
6/21/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/15/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Groce, CFO
(931) 438-7471
Contract Pharmacy Representative
Wayne Damron, Owner
(931) 433-1511
Signed By Date
6/15/2012
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