340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
METTER PHARMACY
CAH111334-00 Candler County Hospital
Print
Covered Entity Details
Entity Name
Candler County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111334-00
Entity Address
400 Cedar Street
Metter, GA 30439
Medicare Provider Number
111334
Participating Start Date
4/1/2014
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
METTER PHARMACY
Pharmacy Address
705 S LEWIS ST
METTER, GA 30439-5128
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/5/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Damien Scott, CEO
(912) 685-1704 Ext: 1799
Contract Pharmacy Representative
Metter Pharmacy
John Bryan Moseley, owner
(912) 685-6337
Signed By Date
10/2/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session