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CARMICHAELS OF COVINGTON
DSH110018 PIEDMONT NEWTON HOSPITAL, INC.
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Covered Entity Details
Entity Name
PIEDMONT NEWTON HOSPITAL, INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110018
Entity Address
5126 HOSPITAL DRIVE
COVINGTON, GA 30014
Medicare Provider Number
110018
Participating Start Date
1/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
CARMICHAELS OF COVINGTON
Pharmacy Address
MARTINS CROSSING
9148 HIGHWAY 278 NE STE D
COVINGTON, GA 30014-7032
Pharmacy Comments
Contract Details
Approval Date
7/1/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/23/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
TROY B. BROOKS, CFO
(770) 385-4426
Contract Pharmacy Representative
Larry Briggs, Pharmacist-in-Charge
(678) 712-4570
Signed By Date
7/1/2015
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