Covered Entity Details

CH04471H FRANKLIN PRIMARY HEALTH CENTER, INC. (Active) - information as of 5/6/2025 12:00:12 AM

Main Details

Name

FRANKLIN PRIMARY HEALTH CENTER, INC.

Subdivision Name

GILBERTOWN MEDICAL/DENTAL CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-004367

340B ID

CH04471H

Grant Number

H80CS00099

Additional Details

Current Program Status

Active

Registration Date

12/3/2008

Participating Start Date

1/1/2009

Participating Approval Date

12/3/2008

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Franklin Primary Health Center
Charles White, Chief Executive Officer
(251) 434-8188

Primary Contact

Franklin Primary Health Center Inc.
Wilfred Brown, Director of Pharmacy
(251) 436-7702

Addresses

Street Address

140 FRONT STREET STE 4
GILBERTOWN, AL 36908-2206

Billing Address

FRANKLIN PRIMARY HEALTH CENTER
1303 DR. MARTIN LUTHER KING, JR. AVENUE
MOBILE, AL 36603

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
11/5/09 UPDATED ENTITY NAME (WAS FRANKLIN MEMORIAL PRIMARY HEALTH CENTER); UPDATED BILL TO (WAS PO BOX 2048, MOBILE, AL); 11/5/09 ADDED SHIP TO	01/14/2010

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
AL	100010114,630011014	1659392389,1679532303,1093775918

Shipping Addresses

Shipping Address 1

FRANKLIN MEMORIAL PRIMARY HEALTH CENTER
1303 DR. MARTIN LUTHER KING JR. AVENUE
MOBILE, AL 36652

Shipping Address 2

Franklin Primary Health Center, Inc.
1303 DR. MARTIN LUTHER KING, JR. AVENUE
MOBILE, AL 36603

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	WALGREEN CO	DBA: WALGREENS #10982	2501 COLLEGE AVENUE	JACKSON	AL	36545	04/14/2023	04/17/2023			04/17/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH044710	Active	BPS-H80-002617	FRANKLIN PRIMARY HEALTH CENTER, INC.	FRANKLIN MEDICAL MALL	1303 DR. MARTIN LUTHER KING	MOBILE	AL
CH04471A	Active	BPS-H80-002124	FRANKLIN PRIMARY HEALTH CENTER, INC.	DR. ALBERT THOMAS MEDICAL CENTER	510 S Wilson Ave	Prichard	AL
CH04471AA	Active	BPS-H80-009547	FRANKLIN PRIMARY HEALTH CENTER, INC.	J.R. Thomas Wellness and Fitness Center	1361 Dr Martin L King Jr Ave	Mobile	AL
CH04471AB	Terminated	BPS-H80-013725	FRANKLIN PRIMARY HEALTH CENTER, INC.	Lower Alabama Family Medical Center	1205 BELLEVILLE AVE	BREWTON	AL
CH04471AC	Active	BPS-H80-013723	FRANKLIN PRIMARY HEALTH CENTER, INC.	Frisco City Family Medical Center	53 Mulberry Street	Frisco City	AL
CH04471AD	Active	BPS-H80-013721	FRANKLIN PRIMARY HEALTH CENTER, INC.	Brewton Family Dental Center	1115 AZALEA PL	BREWTON	AL
CH04471AE	Active	BPS-H80-013722	FRANKLIN PRIMARY HEALTH CENTER, INC.	Evergreen Family Medical Center	316 S MAIN ST	EVERGREEN	AL
CH04471AF	Terminated	BPS-H80-014506	FRANKLIN PRIMARY HEALTH CENTER, INC.	West Escambia Family Medical Center	408 MEDICAL PARK DR	ATMORE	AL
CH04471AG	Terminated	BPS-H80-018768	FRANKLIN PRIMARY HEALTH CENTER, INC.	South Mobile Family Dental Center	13040 S. Wintzell Avenue	Bayou LA Batre	AL
CH04471AH	Active	BPS-H80-018509	FRANKLIN PRIMARY HEALTH CENTER, INC.	Franklin Family Medical Center	103 Elliott Street	Brewton	AL
CH04471AJ	Terminated	BPS-H80-017675	FRANKLIN PRIMARY HEALTH CENTER, INC.	Foley School Based Health Center	301 West Laurel Avenue	Foley	AL
CH04471AK	Active	BPS-H80-022206	FRANKLIN PRIMARY HEALTH CENTER, INC.	Franklin Evergreen Family Health Center	100 Edwina St	Evergreen	AL
CH04471AL	Active	BPS-H80-018303	FRANKLIN PRIMARY HEALTH CENTER, INC.	The Charles White Family Health Center	990 Cody Rd N	Mobile	AL
CH04471AM	Active	BPS-H80-027603	FRANKLIN PRIMARY HEALTH CENTER, INC.	Franklin's Wellness, Smiles and Vision Express	1303 Dr Martin L King Jr Ave	Mobile	AL
CH04471C	Active	BPS-H80-004963	FRANKLIN PRIMARY HEALTH CENTER, INC.	MAYSVILLE MEDICAL CENTER	1956 Duval St	Mobile	AL
CH04471D	Active	BPS-H80-002890	FRANKLIN PRIMARY HEALTH CENTER, INC.	AIELLO/BUSKEY MEDICAL CENTER	424 S Wilson Ave	Prichard	AL
CH04471E	Terminated	BPS-H80-001170	FRANKLIN PRIMARY HEALTH CENTER, INC.	FRANKLIN MEMORIAL PRIMARY HEALTH CENTER, INC.	1303 DR MARTIN L KING JR. AVE	MOBILE	AL
CH04471G	Active	BPS-H80-004102	FRANKLIN PRIMARY HEALTH CENTER, INC.	LOXLEY FAMILY MEDICAL CENTER	1083 E RELHAM DRIVE	LOXLEY	AL
CH04471H	Active	BPS-H80-004367	FRANKLIN PRIMARY HEALTH CENTER, INC.	GILBERTOWN MEDICAL/DENTAL CENTER	140 FRONT STREET STE 4	GILBERTOWN	AL
CH04471Q	Terminated	BPS-H80-001184	FRANKLIN PRIMARY HEALTH CENTER, INC.	LOXLEY FAMILY DENTAL CENTER	3147 FIRST AVENUE	LOXLEY	AL
CH04471R	Active	BPS-H80-009147	FRANKLIN PRIMARY HEALTH CENTER, INC.	West Mobile Family Medical Center	801 University Boulevard BLDG D	Mobile	AL
CH04471S	Active	BPS-H80-003720	FRANKLIN PRIMARY HEALTH CENTER, INC.	Franklin Medical and Dental Express	1303 Dr Martin L King Jr Ave	Mobile	AL
CH04471U	Active	BPS-H80-004165	FRANKLIN PRIMARY HEALTH CENTER, INC.	H.E Savage Memorial Center	1201 Spring Hill Ave	Mobile	AL
CH04471V	Active	BPS-H80-004699	FRANKLIN PRIMARY HEALTH CENTER, INC.	THE HADLEY MEDICAL CENTER	572 Stanton Rd	Mobile	AL
CH04471W	Terminated	BPS-H80-002731	FRANKLIN PRIMARY HEALTH CENTER, INC.	H.E. SAVAGE CENTER	553 Dauphin St	Mobile	AL
CH04471X	Terminated	BPS-H80-009295	FRANKLIN PRIMARY HEALTH CENTER, INC.	Central Plaza Towers Health Center	300 Bay Shore Avenue BLDG 306	Mobile	AL
CH04471Y	Active	BPS-H80-009956	FRANKLIN PRIMARY HEALTH CENTER, INC.	South Baldwin Family Health Center	1628 N Mckenzie St	Foley	AL
CH04471Z	Active	BPS-H80-012342	FRANKLIN PRIMARY HEALTH CENTER, INC.	North Baldwin Family Health Center	201 D'Olive Street	Bay Minette	AL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH044710	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2022
CH044710	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2022
CH044710	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2022
CH044710	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2022
CH044710	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2022
CH044710	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/01/2022
CH044710	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2022
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04938	208 MCMEANS AVE.	BAY MINETTE	AL	36507	01/01/2016
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04877	2280 DR. MARTIN LUTHER KING JR AVE	MOBILE	AL	36610	01/01/2016
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01806	1300 SOUTH MCKENZIE ST	FOLEY	AL	36535	01/01/2024
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01822	21975 HWY 59	ROBERTSDALE	AL	36567	01/01/2024
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07671	1401 HILLCREST RD	MOBILE	AL	36695-4032	01/01/2024
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04847	210 W FRONT ST	EVERGREEN	AL	36401	01/01/2024
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04903	3100 DAUPHIN ISLAND PKWY	MOBILE	AL	36605	01/01/2024
CH044710	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #11016	4645 AIRPORT BLVD	MOBILE	AL	36608	07/01/2025
CH044710	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	07/01/2025
CH044710	AMAZON PHARMACY #006	3620 PLAINFIELD RD		INDIANAPOLIS	IN	46231-7003	07/01/2025
CH044710	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	07/01/2025
CH044710	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CH044710	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CH044710	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CH044710	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CH044710	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CH044710	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2024
CH044710	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CH044710	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CH044710	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CH044710	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CH044710	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2025
CH044710	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2025
CH044710	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024
CH044710	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	07/01/2021
CH044710	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2022
CH044710	EXACT CARE PHARMACY	DDCRX, LLC	2701 HIGHPOINT OAKS DR STE 100	LEWISVILLE	TX	75067-3896	10/01/2022
CH044710	EXACT CARE PHARMACY, LLC	8333 ROCKSIDE RD		CLEVELAND	OH	44125	10/01/2022
CH044710	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2022
CH044710	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2022
CH044710	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2022
CH044710	FRED'S PHARMACY # 2409	1318 S. HWY 21 BYPASS		MONROEVILLE	AL	36460	07/01/2017	05/19/2019
CH044710	FRED'S PHARMACY #1536	802 FORREST AVE		EAST BREWTON	AL	36426	07/01/2017	05/19/2019
CH044710	FRED'S PHARMACY #1561	450 W FRONT ST		EVERGREEN	AL	36401-3279	07/01/2017	05/19/2019
CH044710	FRED'S PHARMACY #2089	1200 N MCKENZIE ST		FOLEY	AL	36535-3503	07/01/2017	05/19/2019
CH044710	GENOA HEALTHCARE LLC	3456 HILLCREST ROAD	BLDG B, STE D	MOBILE	AL	36695-3195	07/01/2025
CH044710	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2025
CH044710	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2025
CH044710	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2025
CH044710	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	07/01/2021	10/01/2022
CH044710	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CH044710	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CH044710	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CH044710	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2021
CH044710	WAL-MART PHARMACY 10-0866	5245 RANGELINE SERVICE RD S		MOBILE	AL	36619-9541	07/01/2025
CH044710	WAL-MART PHARMACY 10-0934	27520 HWY 98		DAPHNE/LAKE FOREST	AL	36526	07/01/2017
CH044710	WAL-MART PHARMACY 10-0981	1733 SECOND ST SOUTH		MERIDIAN	MS	39301	04/01/2021	11/10/2021
CH044710	WAL-MART PHARMACY 10-0991	101 SOUTH BELTLINE HIGHWAY		MOBILE	AL	36606	07/01/2017
CH044710	WAL-MART PHARMACY 10-1174	34301 HIGHWAY 43		THOMASVILLE	AL	36784	04/01/2021	11/10/2021
CH044710	WAL-MART PHARMACY 10-1212	1095 INDUSTRIAL PKWY		SARALAND	AL	36571	07/01/2017
CH044710	WAL-MART PHARMACY 10-1493	3371 SOUTH ALABAMA AVENUE		MONROEVILLE	AL	36460	04/01/2021	11/10/2021
CH044710	WAL-MART PHARMACY 10-1620	2578 DOUGLAS AVENUE		BREWTON	AL	36426	04/01/2021
CH044710	WAL-MART PHARMACY 10-2739	701 MCMEANS AVENUE		BAY MINETTE	AL	36507	07/01/2017
CH04471Z	WAL-MART PHARMACY 10-2739	701 MCMEANS AVENUE		BAY MINETTE	AL	36507	04/17/2023
CH044710	WAL-MART PHARMACY 10-4333	10040 COUNTY ROAD 48		FAIRHOPE	AL	36533	04/01/2021
CH044710	WAL-MART PHARMACY 10-5174	7855 MOFFETT RD		SEMMES	AL	36575	07/01/2025
CH044710	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2021
CH044710	WALGREEN CO	DBA: WALGREENS #10762	2040 DOUGLAS AVE	BREWTON	AL	36426-1151	04/01/2015
CH044710	WALGREEN CO	DBA: WALGREENS #10851	6395 AIRPORT BLVD	MOBILE	AL	36608	04/01/2015
CH044710	WALGREEN CO	DBA: WALGREENS #10761	1504 S MAIN STREET	ATMORE	AL	36502-0337	04/01/2017
CH044710	WALGREEN CO	DBA: WALGREENS #10982	2501 COLLEGE AVENUE	JACKSON	AL	36545	04/01/2020	01/21/2025
CH04471AL	WALGREEN CO	DBA: WALGREENS #10851	6395 AIRPORT BLVD	MOBILE	AL	36608	04/17/2023
CH04471AD	WALGREEN CO	DBA: WALGREENS #10761	1504 S MAIN STREET	ATMORE	AL	36502-0337	04/17/2023
CH04471H	WALGREEN CO	DBA: WALGREENS #10982	2501 COLLEGE AVENUE	JACKSON	AL	36545	04/17/2023
CH04471AH	WALGREEN CO	DBA: WALGREENS #10762	2040 DOUGLAS AVE	BREWTON	AL	36426-1151	04/17/2023
CH044710	WALGREEN CO.	DBA: WALGREENS # 01318	698 S MCKENZIE ST	FOLEY	AL	36535	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 01777	3948 AIRPORT BLVD	MOBILE	AL	36608-1624	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 05151	5705 COTTAGE HILL RD	MOBILE	AL	36609	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 05176	2490 SCHILLINGER RD S	MOBILE	AL	36695	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 06085	5530 THREE NOTCH RD	MOBILE	AL	36619	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 06507	1320 GOVERNMENT ST	MOBILE	AL	36604	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 07609	2050 GOVERNMENT STREET	MOBILE	AL	36606-1622	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS # 07962	12 SHELTON BEACH RD	SARALAND	AL	36571-2403	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS #10169	30957 MILL LN	DAPHNE	AL	36527	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS #12333	4544 SAINT STEPHENS RD	PRICHARD	AL	36613	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS #12879	1772 S ALABAMA AVE	MONROEVILLE	AL	36460	04/01/2015
CH044710	WALGREEN CO.	DBA: WALGREENS #15480	1731 SPRING HILL AVE	MOBILE	AL	36604	04/01/2015
CH044710	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	04/01/2015	05/20/2022
CH044710	WALGREEN CO.	DBA: WALGREENS # 05606	3025 US HIGHWAY 98	DAPHNE	AL	36526	07/01/2018
CH044710	WALGREEN CO.	WALGREENS #17323	402 N CRAFT HWY	CHICKASAW	AL	36611-1312	07/01/2019
CH044710	WALGREEN CO.	DBA: WALGREENS # 06639	370 SCHILLINGER ROAD SOUTH	MOBILE	AL	36695	01/01/2020
CH044710	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21266	6395 AIRPORT BLVD STE A	MOBILE	AL	36608	01/01/2020
CH044710	WALGREEN CO.	WALGREENS #19324	21951 STATE HIGHWAY 59 STE A	ROBERTSDALE	AL	36567	04/01/2020
CH044710	WALGREEN CO.	DBA: WALGREENS # 06084	2 SOUTH GREENO RD	FAIRHOPE	AL	36532	04/01/2020
CH044710	WALGREEN CO.	WALGREENS #17115	3151 DAUPHIN ST STE B	MOBILE	AL	36606	07/01/2020
CH044710	WALGREEN CO.	WALGREENS #17273	1351 N UNIVERSITY BLVD STE 1	MOBILE	AL	36618	10/01/2020
CH044710	WALGREEN CO.	WALGREENS #17197	2912 DAUPHIN ISLAND PKWY STE L	MOBILE	AL	36605	10/01/2021
CH044710	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	05/20/2022
CH04471V	WALGREEN CO.	DBA: WALGREENS # 07609	2050 GOVERNMENT STREET	MOBILE	AL	36606-1622	04/17/2023
CH04471D	WALGREEN CO.	DBA: WALGREENS #12333	4544 SAINT STEPHENS RD	PRICHARD	AL	36613	04/17/2023
CH04471AC	WALGREEN CO.	DBA: WALGREENS #12879	1772 S ALABAMA AVE	MONROEVILLE	AL	36460	04/17/2023
CH04471Y	WALGREEN CO.	DBA: WALGREENS # 01318	698 S MCKENZIE ST	FOLEY	AL	36535	04/17/2023
CH04471R	WALGREEN CO.	DBA: WALGREENS # 01777	3948 AIRPORT BLVD	MOBILE	AL	36608-1624	04/17/2023
CH04471U	WALGREEN CO.	DBA: WALGREENS # 06507	1320 GOVERNMENT ST	MOBILE	AL	36604	04/17/2023
CH04471A	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	04/17/2023
CH044710	WALGREEN CO.	DBA: WALGREENS #13159	9179 MOFFETT RD.	SEMMES	AL	36575	04/01/2024
CH044710	WALGREEN CO.	WALGREENS #19255	6530 SPANISH FORT BLVD SUITE A	SPANISH FORT	AL	36527-5014	04/01/2024
CH044710	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	07/01/2022
CH044710	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/01/2015	06/30/2015
CH044710	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2015	06/30/2015
CH044710	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	07/01/2021	10/01/2021
CH044710	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/01/2021
CH044710	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/01/2021
CH044710	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2021
CH044710	WALMART PHARMACY #10-6173	21141 STATE HWY 59		ROBERTSDALE	AL	36567	07/01/2017
CH04471G	WALMART PHARMACY #10-6173	21141 STATE HWY 59		ROBERTSDALE	AL	36567	04/17/2023
CH044710	WALMART PHARMACY #10-7247	911 N. MAIN STREET		ATMORE	AL	36502	04/01/2021
CH04471AK	WALMART PHARMACY #10-7247	911 N. MAIN STREET		ATMORE	AL	36502	04/17/2023
CH044710	WALMART PHARMACY 10-5740	2570 GOVERNMENT BLVD		MOBILE	AL	36606	07/01/2017
CH044710	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/5/2024 11:25:10 AM	2/12/2025 9:29:38 AM	2/12/2025 9:29 AM
Details	Last Recertification Date	Update	Recertification	2/16/2023 6:03:35 PM	2/5/2024 11:25:10 AM	2/5/2024 11:25 AM
Details	Last Recertification Date	Update	Recertification	2/17/2022 10:41:17 AM	2/16/2023 6:03:35 PM	2/16/2023 6:03 PM
Details	Last Recertification Date	Update	Recertification	2/12/2021 7:56:58 AM	2/17/2022 10:41:17 AM	2/17/2022 10:41 AM
Medicaid Billing	NPI: State	Update	Recertification		AL	2/12/2021 7:56 AM
Medicaid Billing	NPI: State	Update	Recertification		AL	2/12/2021 7:56 AM
Medicaid Billing	NPI: State	Update	Recertification		AL	2/12/2021 7:56 AM
Contacts	Primary Contact	Update	Recertification	Burke, Machelle Director of Pharmacy Franklin Primary Health Center Inc. 2514367676	Brown, Wilfred Director of Pharmacy Franklin Primary Health Center Inc. 2514367702	2/12/2021 7:56 AM
Details	Last Recertification Date	Update	Recertification	2/10/2020 1:10:46 PM	2/12/2021 7:56:58 AM	2/12/2021 7:56 AM
Details	Last Recertification Date	Update	Recertification	2/6/2019 3:49:42 PM	2/10/2020 1:10:46 PM	2/10/2020 1:10 PM
Details	Last Recertification Date	Update	Recertification	2/23/2018 4:44:25 PM	2/6/2019 3:49:42 PM	2/6/2019 3:49 PM
Details	Last Recertification Date	Update	Recertification	2/16/2017 12:00:00 AM	2/23/2018 4:44:25 PM	2/23/2018 4:44 PM
Contacts	Primary Contact	Update		Burke, Machelle Director of Pharmacy 2514367676	Burke, Machelle Director of Pharmacy Franklin Primary Health Center Inc. 2514367676	1/9/2018 5:51 PM
Contacts	Authorizing Official	Update		White, Charles Chief Executive Officer 2514348188	White, Charles Chief Executive Officer Franklin Primary Health Center 2514348188	1/9/2018 4:04 PM
Contacts	Primary Contact	Insert			Burke, Machelle Director of Pharmacy 2514367676	5/1/2017 5:37 PM
Contacts	Authorizing Official	Insert			White, Charles Chief Executive Officer 2514348188	5/1/2017 5:37 PM
Addresses	Main Address	Insert			140 FRONT STREET STE 4 GILBERTOWN, AL 36908-2206	2/16/2017 6:01 PM
Details	Last Recertification Date	Update		3/1/2016 12:00:00 AM	2/16/2017 12:00:00 AM	2/16/2017 6:01 PM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	3/2/2016 4:38 PM
Details	Last Recertification Date	Update		3/4/2015 12:00:00 AM	3/1/2016 12:00:00 AM	3/2/2016 4:38 PM
Addresses	Shipping Address	Insert			Franklin Primary Health Center, Inc. 1303 DR. MARTIN LUTHER KING, JR. AVENUE MOBILE, AL 36603	3/4/2015 10:34 AM
Addresses	Shipping Address	Insert			FRANKLIN MEMORIAL PRIMARY HEALTH CENTER 1303 DR. MARTIN LUTHER KING JR. AVENUE MOBILE, AL 36652	3/4/2015 10:34 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/4/2015 10:34 AM
Medicaid Billing	Medicaid: Number	Insert			630011014	3/4/2015 10:34 AM
Medicaid Billing	Medicaid: State	Insert			AL	3/4/2015 10:34 AM
Medicaid Billing	NPI: Number	Insert			1679532303	3/4/2015 10:34 AM
Medicaid Billing	NPI: Number	Insert			1093775918	3/4/2015 10:34 AM
Details	Last Recertification Date	Update		3/16/2014 12:00:00 AM	3/4/2015 12:00:00 AM	3/4/2015 10:34 AM
Addresses	Billing Address	Insert			FRANKLIN MEMORIAL PRIMARY HEALTH CENTER 1303 DR. MARTIN LUTHER KING, JR. AVENUE MOBILE, AL 36603	3/16/2014 4:34 PM
Addresses	Billing Address	Update		FRANKLIN MEMORIAL PRIMARY HEALTH CENTER 1303 DR. MARTIN LUTHER KING, JR. AVENUE MOBILE, AL 36603	FRANKLIN PRIMARY HEALTH CENTER 1303 DR. MARTIN LUTHER KING, JR. AVENUE MOBILE, AL 36603	3/16/2014 4:34 PM
Medicaid Billing	NPI: Number	Update		1093775918	1659392389	3/16/2014 4:34 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/16/2014 12:00:00 AM	3/16/2014 4:34 PM
Details	Entity Name	Update		FRANKLIN PRIMARY HEALTH CENTER	FRANKLIN PRIMARY HEALTH CENTER, INC.	3/16/2014 4:34 PM
Details	Entity Subname	Update		GILBERTOWN MEDICAL, DENTAL, AND VISION CENTER	GILBERTOWN MEDICAL/DENTAL CENTER	3/16/2014 4:34 PM
Medicaid Billing	NPI: Number	Insert			1093775918	3/26/2013 9:53 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/26/2013 9:53 AM
Details	Last Recertification Date	Insert				1/14/2010 12:58 PM
Details	Grant Number	Insert			H80CS00099	1/14/2010 12:58 PM
Details	340B ID	Insert			CH04471H	1/14/2010 12:58 PM
Details	Is Authorizing Official EHB Data	Insert				1/14/2010 12:58 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/14/2010 12:58 PM
Details	Medicare Provider Number	Insert				1/14/2010 12:58 PM
Details	Entity Name	Insert			FRANKLIN PRIMARY HEALTH CENTER	1/14/2010 12:58 PM
Details	Program Code	Insert			CH	1/14/2010 12:58 PM
Details	Entity Subname	Insert			GILBERTOWN MEDICAL, DENTAL, AND VISION CENTER	1/14/2010 12:58 PM
Dates	Participating Approval Date	Insert			12/3/2008 12:00:00 AM	1/14/2010 12:58 PM
Details	State	Insert			Active	1/14/2010 12:58 PM
Dates	Registration Date	Insert			12/3/2008 12:00:00 AM	1/14/2010 12:58 PM
Dates	Signed By Date	Insert			11/26/2008 12:00:00 AM	1/14/2010 12:58 PM
Dates	Start Date	Insert			1/1/2009 12:00:00 AM	1/14/2010 12:58 PM
Terminations	Termination Comments	Insert				1/14/2010 12:58 PM
Terminations	Termination Date	Insert				1/14/2010 12:58 PM
Terminations	Termination Effective Date	Insert				1/14/2010 12:58 PM
Terminations	Termination Reason	Insert				1/14/2010 12:58 PM
Details	Comments Public	Insert			11/5/09 UPDATED ENTITY NAME (WAS FRANKLIN MEMORIAL PRIMARY HEALTH CENTER); UPDATED BILL TO (WAS PO BOX 2048, MOBILE, AL); 11/5/09 ADDED SHIP TO	1/14/2010 12:58 PM
Medicaid Billing	Medicaid: Is Primary	Insert			True	12/3/2008 3:14 PM
Medicaid Billing	Medicaid: Number	Insert			100010114	12/3/2008 3:14 PM
Medicaid Billing	Medicaid: State	Insert			AL	12/3/2008 3:14 PM

340B Drug Pricing Program Database