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FRED'S PHARMACY
SCH190088-00 SPRINGHILL MEDICAL CENTER - AMENDED
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Covered Entity Details
Entity Name
SPRINGHILL MEDICAL CENTER - AMENDED
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH190088-00
Entity Address
2001 DOCTORS DRIVE
SPRINGHILL, LA 71075
Medicare Provider Number
190088
Participating Start Date
1/1/2018
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
FRED'S PHARMACY
Pharmacy Address
STORE 2891
1190 S ARKANSAS
SPRINGHILL, LA 71075
Pharmacy Comments
Contract Details
Approval Date
4/2/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Vincent R Sedminik, CEO
(318) 539-1001
Contract Pharmacy Representative
Fred's
Timothy A. Liebmann, Executive VP and COO Pharmacy
(901) 365-8880
Signed By Date
4/2/2018
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