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FRED'S PHARMACY #2056
SCH110124-00 Wayne Memorial Hospital
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Covered Entity Details
Entity Name
Wayne Memorial Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH110124-00
Entity Address
865 South First Street
Jesup, GA 31545
Medicare Provider Number
110124
Participating Start Date
1/1/2012
Last Recertification Date
8/19/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
FRED'S PHARMACY #2056
Pharmacy Address
650 W CHERRY ST
JESUP, GA 31545-0800
Pharmacy Comments
Contract Details
Approval Date
4/17/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/29/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gregory A. Jones, CFO
(912) 530-3305
Contract Pharmacy Representative
Shannon Strickland, SVP, Pharmacy Development
(901) 238-3113
Signed By Date
4/17/2015
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