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FRED'S XPRESS #3861
DSH190140 FRANKLIN MEDICAL CENTER
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Covered Entity Details
Entity Name
FRANKLIN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190140
Entity Address
2106 LOOP ROAD
WINNSBORO, LA 71295
Medicare Provider Number
190140
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
FRED'S XPRESS #3861
Pharmacy Address
705 PLANK ROAD
PO BOX 5
ST JOSEPH, LA 71366
Pharmacy Comments
Contract Details
Approval Date
4/1/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
MICHAEL BLAKE KRAMER, CEO
(318) 412-5265
Contract Pharmacy Representative
Shannon Strickland, SVP, Pharmacy Development
(901) 238-3113
Signed By Date
4/1/2016
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