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INGLES MARKETS PHARMACY #205
CAH341322-00 AdventHealth Polk
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Covered Entity Details
Entity Name
AdventHealth Polk
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341322-00
Entity Address
101 HOSPITAL DRIVE
COLUMBUS, NC 28722
Medicare Provider Number
341322
Participating Start Date
7/1/2017
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
INGLES MARKETS PHARMACY #205
Pharmacy Address
1851 HIGHWAY 14 EAST @ I-26
LANDRUM, SC 29356
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/23/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Elizabeth Presnell, CFO
(828) 894-0954
Contract Pharmacy Representative
Ingles Markets
Troy McNeill, Director, Clinical Services & Government Affairs
(828) 301-2914
Signed By Date
4/16/2018
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