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WILSON PHARMACY
DSH490001 NORTON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
NORTON COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490001
Entity Address
100 15TH STREET N.W
NORTON, VA 24273
Medicare Provider Number
490001
Participating Start Date
4/1/2009
Last Recertification Date
9/10/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
WILSON PHARMACY
Pharmacy Address
DBA BALLAD HEALTH PHARMACY
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pharmacy Comments
11/16/2012 address update (was 525 N. State of Franklin Rd.)
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
STEPHEN P. SAWYER, CFO
(276) 679-9702
Contract Pharmacy Representative
MSHA
Trish Tanner, AVP Pharmacy Services
(423) 302-3532
Signed By Date
10/11/2013
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