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WINN-DIXIE PHARMACY
SCH010069-00 The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour
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Covered Entity Details
Entity Name
The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH010069-00
Entity Address
820 West Washington St.
Eufaula, AL 36027
Medicare Provider Number
010069
Participating Start Date
10/1/2013
Last Recertification Date
8/30/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
WINN-DIXIE PHARMACY
Pharmacy Address
DBA WINN-DIXIE PHARMACY #478
1055 S EUFAULA AVENUE
EUFAULA, AL 36027
Pharmacy Comments
Contract Details
Approval Date
4/9/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Ron Owen, CEO
(334) 793-8701
Contract Pharmacy Representative
Curtis Hartin, Director of Pharmacy Managed Care
(904) 370-7776
Signed By Date
4/9/2014
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