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ALABAMA CVS PHARMACY, L.L.C.
DSH010113 MOBILE INFIRMARY MEDICAL CENTER
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Covered Entity Details
Entity Name
MOBILE INFIRMARY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010113
Entity Address
FIVE MOBILE INFIRMARY CIRCLE
MOBILE, AL 36607
Medicare Provider Number
010113
Participating Start Date
1/1/2018
Last Recertification Date
9/7/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04900
2550 DAUPHIN ST.
MOBILE, AL 36606
Pharmacy Comments
Contract Details
Approval Date
1/11/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Lee Ann Cain, Vice President
(251) 279-1510
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2016
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