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HAPPY HARRY'S INC.
DSH080004 BAYHEALTH MEDICAL CENTER INC.
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Covered Entity Details
Entity Name
BAYHEALTH MEDICAL CENTER INC.
Subdivision Name
KENT GENERAL HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH080004
Entity Address
640 SOUTH STATE STREET
DOVER, DE 19901-3597
Medicare Provider Number
080004
Participating Start Date
4/1/2009
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HAPPY HARRY'S INC.
Pharmacy Address
DBA: WALGREENS #15632
2480 S DUPONT HWY
CAMDEN, DE 19934
Pharmacy Comments
Contract Details
Approval Date
10/9/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael James Tretina, CFO
(302) 744-7162
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/9/2014
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