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WILSON PHARMACY INC. DBA BALLAD HEALTH P
DSH490053 JOHNSTON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
JOHNSTON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490053
Entity Address
16000 JOHNSTON MEMORIAL DRIVE
ABINGDON, VA 24211
Medicare Provider Number
490053
Participating Start Date
10/30/2020
Last Recertification Date
9/11/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WILSON PHARMACY INC. DBA BALLAD HEALTH P
Pharmacy Address
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211-7664
Pharmacy Comments
Contract Details
Approval Date
1/8/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
John Lawrence Jeter, CFO
(276) 258-2800
Contract Pharmacy Representative
MSHA
Trish Tanner, AVP Pharmacy Services
(423) 302-3532
Signed By Date
1/8/2014
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