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FLEETWOOD PHARMACY
DSH420015 Prisma Health BAPTIST EASLEY HOSPITAL
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Covered Entity Details
Entity Name
Prisma Health BAPTIST EASLEY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420015
Entity Address
200 FLEETWOOD DRIVE
EASLEY, SC 29641
Medicare Provider Number
420015
Participating Start Date
1/1/2017
Last Recertification Date
9/12/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
FLEETWOOD PHARMACY
Pharmacy Address
121 FLEETWOOD DR
EASLEY, SC 29640-2019
Pharmacy Comments
Contract Details
Approval Date
10/18/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian Finley, COO
(864) 442-7433
Contract Pharmacy Representative
Fleetwood Pharmacy
Bhavesh Patel, Owner
(864) 442-5192
Signed By Date
10/18/2016
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