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GALLOWAY-SANDS PHARMACY #2
CAH341327-00 J ARTHUR DOSHER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
J ARTHUR DOSHER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341327-00
Entity Address
924 N HOWE ST
SOUTHPORT, NC 28461
Medicare Provider Number
341327
Participating Start Date
7/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
GALLOWAY-SANDS PHARMACY #2
Pharmacy Address
DBA GALLOWAY-SANDS PHARMACY #2
1513 NORTH HOWE ST STE 8
SOUTHPORT, NC 28461
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Karen Lemay, Interim CFO
(910) 457-3815
Contract Pharmacy Representative
Kevin Sands, Co-Owner
(910) 454-9090
Signed By Date
1/15/2014
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