Contract Pharmacy Details

DOGWOOD PHARMACY, INC
CH042850 RURAL HEALTH MEDICAL PROGRAM, INC.

Covered Entity Details

Entity Name

RURAL HEALTH MEDICAL PROGRAM, INC.

Subdivision Name

Rural Health Medical Program, Inc.-Selma Health Center & Administrative Office

Type

HRSA-Funded Health Center

340B ID

CH042850

Entity Address

101 PARK PLACE
SELMA, AL 36701

Grant Number

H80CS00794

Participating Start Date

1/1/2003

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

DOGWOOD PHARMACY, INC

Pharmacy Address

D/B/A MEDSCRIPTS MEDICAL PHARMACY
1325 MILLER ROAD
SUITE K
GREENVILLE, SC 29607-6540

Pharmacy Comments

Contract Details

Approval Date

1/9/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/8/2025
Agreement registered in error

Contacts

Covered Entity Signing Official

KESHEE Danee DOZIER-SMITH, CEO
(334) 874-7428 Ext: 121

Contract Pharmacy Representative

CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665

Signed By Date

1/9/2018

340B Drug Pricing Program Database