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GENTRY DRUGS, INC.
DSH010109 PICKENS COUNTY HEALTH CARE AUTHORITY
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Covered Entity Details
Entity Name
PICKENS COUNTY HEALTH CARE AUTHORITY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010109
Entity Address
241 ROBERT K WILSON DRIVE
CARROLLTON, AL 35447
Medicare Provider Number
010109
Participating Start Date
7/1/2004
Last Recertification Date
11/29/2017
Entity Termination Date
7/1/2018
Pharmacy Details
Pharmacy Name
GENTRY DRUGS, INC.
Pharmacy Address
551 MEMORIAL PKWY NE
ALICEVILLE, AL 35442-2743
Pharmacy Comments
Contract Details
Approval Date
12/8/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard McBryde, CEO/CFO
(205) 367-8111 Ext: 101
Contract Pharmacy Representative
Gentry Drugs
Phil Gentry, President
(205) 373-6688
Signed By Date
12/8/2017
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