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STEVERSON PHARMACY SERVICES, INC
CAH101307-00 Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
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Covered Entity Details
Entity Name
Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH101307-00
Entity Address
2600 Hospital Drive
Bonifay, FL 32425-4264
Medicare Provider Number
101307
Participating Start Date
1/1/2014
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
STEVERSON PHARMACY SERVICES, INC
Pharmacy Address
DBA KING DISCOUNT DRUG
1242 MAIN ST
CHIPLEY, FL 32428
Pharmacy Comments
Contract Details
Approval Date
7/30/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JoAnn Baker, Administrator
(850) 547-8001
Contract Pharmacy Representative
William Steverson, Owner
(850) 638-4875
Signed By Date
7/30/2014
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