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NOVANT HEALTH PHARMACY SERVICES LLC
RRC340015-00 ROWAN REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
ROWAN REGIONAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC340015-00
Entity Address
612 MOCKSVILLE AVENUE
SALISBURY, NC 28144
Medicare Provider Number
340015
Participating Start Date
1/1/2017
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
NOVANT HEALTH PHARMACY SERVICES LLC
Pharmacy Address
DBA NOVANT HEALTH PHARMACY
255 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
Pharmacy Comments
Contract Details
Approval Date
11/1/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/11/2019
Ownership change
Contacts
Covered Entity Signing Official
Darise Caldwell, President and COO - NHRMC
(704) 210-5001
Contract Pharmacy Representative
Karen Ewing, Manager Retail Pharmacy
(336) 718-1044
Signed By Date
11/1/2016
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