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BRINDLEY'S FAMILY PHARMACY
DSH010005 HH Health System - Marshall LLC
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Covered Entity Details
Entity Name
HH Health System - Marshall LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010005
Entity Address
2505 U.S. HIGHWAY 431
BOAZ, AL 35957
Medicare Provider Number
010005
Participating Start Date
4/1/2016
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
BRINDLEY'S FAMILY PHARMACY
Pharmacy Address
209 SAND MOUNTAIN DR E
SUITE 100
ALBERTVILLE, AL 35950
Pharmacy Comments
Contract Details
Approval Date
3/2/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/21/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GARY R. GORE, CEO
(256) 894-6611
Contract Pharmacy Representative
Steven Brindley, Owner
(256) 878-2111
Signed By Date
3/2/2016
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