Contract Pharmacy Details

CAROLINACARE PHARMACY
DSH340001 ATRIUM HEALTH CABARRUS

Covered Entity Details

Entity Name

ATRIUM HEALTH CABARRUS

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340001

Entity Address

920 CHURCH STREET NORTH
CONCORD, NC 28025-2927

Medicare Provider Number

340001

Participating Start Date

7/1/2024

Last Recertification Date

Entity Termination Date

7/1/2024

Pharmacy Details

Pharmacy Name

CAROLINACARE PHARMACY

Pharmacy Address

P O BOX 31691
4400 GOLF ACRES DRIVE
BUILDING J, SUITE C
CHARLOTTE, NC 28208

Pharmacy Comments

Contract Details

Approval Date

7/17/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/15/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

John J. Knox, Chief Administrative Officer
(704) 355-1116

Contract Pharmacy Representative

CarolinaCare
Frank McCree, Pharmacy Director
(704) 512-7621

Signed By Date

7/17/2014

340B Drug Pricing Program Database