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SHOALS FAMILY PHARMACY GROUP, INC
CAH011302-00 HH Health System - Shoals LLC dba Red Bay Hospital
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Covered Entity Details
Entity Name
HH Health System - Shoals LLC dba Red Bay Hospital
Subdivision Name
DBA/RED BAY HOSPITAL
Type
Critical Access Hospital
340B ID
CAH011302-00
Entity Address
211 HOSPITAL ROAD
RED BAY, AL 35582-0490
Medicare Provider Number
011302
Participating Start Date
9/9/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SHOALS FAMILY PHARMACY GROUP, INC
Pharmacy Address
DBA FAMILY PHARMACY OF RUSSELLVILLE
455 UNDERWOOD RD
RUSSELLVILLE, AL 35653-0911
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MORRIS S. STRICKLAND, CFO
(256) 386-4553
Contract Pharmacy Representative
MORRIS S. STRICKLAND, CFO
(256) 386-4553
Signed By Date
4/15/2015
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