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JOHNSON'S PHARMACY
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
JOHNSON'S PHARMACY
Pharmacy Address
JOHNSON'S PHARMACY & GIFT
GALLERY
219 N WAUKESHA ST
BONIFAY, FL 32425
Pharmacy Comments
Contract Details
Approval Date
7/18/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JoAnn Baker, Administrator
(850) 547-8001
Contract Pharmacy Representative
Mason Johnson, Owner
(850) 567-2163
Signed By Date
7/18/2014
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