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ADVANCED PHARMACY, LLC
CAH341317-00 LifeBrite Hospital Group of Stokes, LLC dba LifeBrite Community Hospital of Stokes
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Covered Entity Details
Entity Name
LifeBrite Hospital Group of Stokes, LLC dba LifeBrite Community Hospital of Stokes
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341317-00
Entity Address
1570 NC 8 & 89 HWY N
Danbury, NC 27016
Medicare Provider Number
341317
Participating Start Date
7/1/2014
Last Recertification Date
11/7/2017
Entity Termination Date
7/1/2018
Pharmacy Details
Pharmacy Name
ADVANCED PHARMACY, LLC
Pharmacy Address
ADVANCED PHARMACY
350 FEASTER ROAD
SUITE D
GREENVILLE, SC 29615-6176
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Pamela P. Tillman, CEO
(336) 593-5314
Contract Pharmacy Representative
Gregory P. Santulli, President
(770) 339-1190 Ext: 7063
Signed By Date
4/15/2016
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