340B Drug Pricing Program Database


CH04470A Bayou La Batre Area Health Development Board, Inc (Active) - information as of 5/16/2025 11:18:43 PM

Main Details
Bayou La Batre Area Health Development Board, Inc
SOUTHWEST ALABAMA HEALTH SERVICE
HRSA-Funded Health Center
BPS-H80-005224
CH04470A
H80CS00098


Additional Details
Active
6/9/2010
7/1/2010
6/10/2010
2/20/2025

Contacts

Bayou La Batre Area Health Development Board, Inc.
JAMES A. HOLLAND, CEO
(251) 824-2174 Ext: 5229

Bayou La Batre Area Health Development Board Inc.
Todd Stork, COO
(251) 824-2174 Ext: 5275

Addresses

7777 HIGHWAY 43 NORTH
MCINTOSH, AL 36553

BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
12701 Padgett Switch Road
Irvington, AL 36544


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04877 2280 DR. MARTIN LUTHER KING JR AVE
MOBILEAL3661010/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04883 9151 MOFFETT RD
SEMMESAL3657510/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04818 4881 SCHILLINGER RD. S
MOBILEAL3661910/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07671 1401 HILLCREST RD
MOBILEAL36695-403210/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02675 900 GOVERNMENT ST.
MOBILEAL3660410/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06017 12900 N. WINTZELL AVE.
BAYOU LA BATREAL3650910/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10181 5400 HWY 280
HOOVERAL3524210/04/202101/01/2022  01/01/2022
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02567 7081 AIRPORT RD
MOBILEAL3660810/04/202101/01/2022  01/01/2022
Contract DetailCARECENTER PHARMACY, L.L.C.CAREPLUS CVS/PHARMACY #10923 2105 OLD SPANISH TRAIL
GAUTIERMS3955310/04/202101/01/2022  01/01/2022
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY # 7193 2314 EAST EXPRESSWAY 83
MISSIONTX7857210/04/202101/01/2022  01/01/2022
Contract DetailHOLIDAY CVS, L.L.C.CVS PHARMACY # 16620 1749 E NINE MILE RD
PENSACOLAFL3251410/04/202101/01/2022  01/01/2022
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01119 7021 HWY 614, PO BOX 789
HURLEYMS3955510/04/202101/01/2022  01/01/2022
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH044700ActiveBPS-H80-004489Bayou La Batre Area Health Development Board, IncMOSTELLAR MEDICAL CENTER12701 PADGETT SWITCH ROAD IRVINGTONAL
CH04470AActiveBPS-H80-005224Bayou La Batre Area Health Development Board, IncSOUTHWEST ALABAMA HEALTH SERVICE7777 HIGHWAY 43 NORTH MCINTOSHAL
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06017 12900 N. WINTZELL AVE.
BAYOU LA BATREAL3650901/01/2017  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04782 10115 GRAND BAY WILMER RD. SOUTH
GRAND BAYAL3654104/01/2018  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04877 2280 DR. MARTIN LUTHER KING JR AVE
MOBILEAL3661001/01/2022  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04883 9151 MOFFETT RD
SEMMESAL3657501/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04877 2280 DR. MARTIN LUTHER KING JR AVE
MOBILEAL3661001/01/2022  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07671 1401 HILLCREST RD
MOBILEAL36695-403201/01/2022  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02567 7081 AIRPORT RD
MOBILEAL3660801/01/2022  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10181 5400 HWY 280
HOOVERAL3524201/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04883 9151 MOFFETT RD
SEMMESAL3657501/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04818 4881 SCHILLINGER RD. S
MOBILEAL3661901/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07671 1401 HILLCREST RD
MOBILEAL36695-403201/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02675 900 GOVERNMENT ST.
MOBILEAL3660401/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06017 12900 N. WINTZELL AVE.
BAYOU LA BATREAL3650901/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10181 5400 HWY 280
HOOVERAL3524201/01/2022  
CH04470AALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02567 7081 AIRPORT RD
MOBILEAL3660801/01/2022  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02675 900 GOVERNMENT ST.
MOBILEAL3660401/01/2022 11/30/2022
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04818 4881 SCHILLINGER RD. S
MOBILEAL3661910/01/2022  
CH044700ALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07668 19215 NORTH 3RD ST.
CITRONELLEAL3652210/01/2024  
CH044700B & F DRUGS  16900 JORDAN STREET
PO BOX 807 		CHATOMAL3651804/01/2015  
CH044700BAYOU PHARMACY LLC DBA BAYOU PHARMACY12855 PADGETT SWITCH RD
IRVINGTONAL36544-401504/01/2014  
CH044700CARECENTER PHARMACY, L.L.C.CAREPLUS CVS/PHARMACY #10923 2105 OLD SPANISH TRAIL
GAUTIERMS3955301/01/2022  
CH04470ACARECENTER PHARMACY, L.L.C.CAREPLUS CVS/PHARMACY #10923 2105 OLD SPANISH TRAIL
GAUTIERMS3955301/01/2022  
CH044700CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2022  
CH044700CAREMARK ILLINOIS MAIL PHARMACY, LLCDBA CVS/CAREMARK OR CARELONRX MAIL #8702 800 BIERMANN COURT
SUITE A 		MOUNT PROSPECTIL6005610/01/2022  
CH044700CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/01/2022  
CH044700CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/01/2022  
CH044700CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/01/2022  
CH044700CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/01/2022  
CH044700CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/01/2022  
CH044700CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/01/2022  
CH044700CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/01/2022  
CH044700CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/01/2022  
CH044700CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/01/2022  
CH044700CONWELL'S PHARMACYPO BOX 1297 10835 DAUPHIN ISLAND PARKWAY
THEODOREAL36590-129704/01/2015  
CH044700CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2022  
CH04470ACVS PHARMACY, INC.DBA CVS/PHARMACY # 7193 2314 EAST EXPRESSWAY 83
MISSIONTX7857201/01/2022  
CH044700CVS PHARMACY, INC.DBA CVS/PHARMACY # 7193 2314 EAST EXPRESSWAY 83
MISSIONTX7857201/01/2022  
CH044700CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/01/2022  
CH044700CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/01/2018  
CH044700FRED'S PHARMACY # 115913210 N WINTZELL AVE
BAYOU LA BATREAL36509-214204/01/2017 12/20/2022
CH04470AHOLIDAY CVS, L.L.C.CVS PHARMACY # 16620 1749 E NINE MILE RD
PENSACOLAFL3251401/01/2022  
CH044700HOLIDAY CVS, L.L.C.CVS PHARMACY # 16620 1749 E NINE MILE RD
PENSACOLAFL3251401/01/2022  
CH044700J. WATKINS DRUGS13286 N WINTZELL AVE
BAYOU LA BATREAL3650910/01/2024  
CH044700LLOYD'S PHARMACY, INC.13286 N WINTZELL AVE
BAYOU LA BATREAL36509-214601/01/2015 01/11/2018
CH044700MCCONAGHY DRUGSMCCONAGHY DRUGS 5565 HIGHWAY 43
P.O.BOX 488 		SATSUMAAL3657210/01/2014 12/20/2022
CH044700MCINTOSH DRUGS7771 HIGHWAY 43
MC INTOSHAL3655304/01/2014 12/20/2022
CH044700MILLRY DRUGS30282 HWY 17 P.O. BOX 199
MILLRYAL3655810/01/2014 12/20/2022
CH04470AMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01119 7021 HWY 614, PO BOX 789
HURLEYMS3955501/01/2022  
CH044700MISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01119 7021 HWY 614, PO BOX 789
HURLEYMS3955501/01/2022  
CH044700MT VERNON PHARMACY19390 HIGHWAY 43
MOUNT VERNONAL36560-345010/01/2014 12/20/2022
CH044700NEW GRAND BAY PHARMACY, LLCDBA GRAND BAY PHARMACY 10067 GRAND BAY WILMER RD S
GRAND BAYAL3654104/01/2014 01/11/2018
CH044700NEW GRAND BAY PHARMACY, LLCDBA GRAND BAY PHARMACY 10067 GRAND BAY WILMER RD S
GRAND BAYAL3654104/01/2021  
CH044700PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999204/01/2018 04/13/2023
CH044700PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/01/2022  
CH044700PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2022  
CH044700PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/01/2022  
CH044700PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681310/01/2022  
CH044700SEMMES PHARMACY, LLC DBA SEMMES PHARMACY8985 MOFFETT RD
SEMMESAL3657501/01/2016 11/13/2024
CH044700THREE NOTCH PHARMACY, LLCDBA THREE NOTCH PHARMACY 7700 THREE NOTCH RD
MOBILEAL3661901/01/2016 11/13/2024
CH044700WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH044700WAL-MART PHARMACY 10-08665245 RANGELINE SERVICE RD S
MOBILEAL36619-954101/01/2015  
CH044700WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH044700WALGREEN CODBA: WALGREENS #10982 2501 COLLEGE AVENUE
JACKSONAL3654504/01/2018 01/10/2025
CH044700WALGREEN CO.DBA: WALGREENS # 07609 2050 GOVERNMENT STREET
MOBILEAL36606-162204/01/2018  
CH044700WALGREEN CO.DBA: WALGREENS # 07962 12 SHELTON BEACH RD
SARALANDAL36571-240304/01/2018  
CH044700WALGREEN CO.DBA: WALGREENS # 06085 5530 THREE NOTCH RD
MOBILEAL3661904/01/2018  
CH044700WALGREEN CO.DBA: WALGREENS #13159 9179 MOFFETT RD.
SEMMESAL3657504/01/2018  
CH044700WALGREEN CO.DBA: WALGREENS # 10168 12550 HWY 90
GRAND BAYAL36541-560904/01/2018  
CH044700Walgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CH044700WALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528404/01/2018  
CH044700WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/01/2018  
CH044700WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/01/2018  
CH044700WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/01/2018  
CH044700WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/01/2018 04/13/2023
CH044700WALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528604/01/2018  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/6/2024 11:29:10 AM2/20/2025 9:45:23 AM2/20/2025 9:45 AM
DetailsLast Recertification DateUpdateRecertification2/2/2023 2:35:02 PM2/6/2024 11:29:10 AM2/6/2024 11:29 AM
DetailsLast Recertification DateUpdateRecertification2/7/2022 1:41:35 PM2/2/2023 2:35:02 PM2/2/2023 2:35 PM
DetailsLast Recertification DateUpdateRecertification2/2/2021 7:37:39 AM2/7/2022 1:41:35 PM2/7/2022 1:41 PM
DetailsLast Recertification DateUpdateRecertification2/18/2020 6:41:54 AM2/2/2021 7:37:39 AM2/2/2021 7:37 AM
ContactsPrimary ContactUpdateRecertificationEDWARDS, BETH DIRECTOR OF OPERATIONS Bayou La Batre Area Health Development Board, Inc. 2518242174-5275Stork, Todd COO Bayou La Batre Area Health Development Board Inc. 2518242174-52752/18/2020 6:41 AM
DetailsLast Recertification DateUpdateRecertification2/4/2019 10:53:04 AM2/18/2020 6:41:54 AM2/18/2020 6:41 AM
DetailsLast Recertification DateUpdateRecertification2/7/2018 3:35:57 PM2/4/2019 10:53:04 AM2/4/2019 10:53 AM
DetailsLast Recertification DateUpdateRecertification2/1/2017 12:00:00 AM2/7/2018 3:35:57 PM2/7/2018 3:35 PM
ContactsAuthorizing OfficialUpdate HOLLAND, JAMES A. CEO 2518242174-5229HOLLAND, JAMES A. CEO Bayou La Batre Area Health Development Board, Inc. 2518242174-52291/4/2018 2:33 PM
ContactsPrimary ContactUpdate EDWARDS, BETH DIRECTOR OF OPERATIONS 2518242174-5275EDWARDS, BETH DIRECTOR OF OPERATIONS Bayou La Batre Area Health Development Board, Inc. 2518242174-52759/21/2017 11:13 AM
ContactsAuthorizing OfficialInsert  HOLLAND, JAMES A. CEO 2518242174-52297/18/2017 10:43 AM
AddressesMain AddressInsert   7777 HIGHWAY 43 NORTH MCINTOSH, AL 365532/1/2017 3:06 PM
ContactsPrimary ContactUpdate WILCOX, BRENDA PURCHASING AGENT 3348242174-288EDWARDS, BETH DIRECTOR OF OPERATIONS 2518242174-52752/1/2017 3:06 PM
DetailsLast Recertification DateUpdate 2/17/2016 12:00:00 AM2/1/2017 12:00:00 AM2/1/2017 3:06 PM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse2/17/2016 11:29 AM
ContactsPrimary ContactInsert  WILCOX, BRENDA PURCHASING AGENT 3348242174-2882/17/2016 11:29 AM
DetailsLast Recertification DateUpdate 2/3/2015 12:00:00 AM2/17/2016 12:00:00 AM2/17/2016 11:29 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM2/3/2015 12:00:00 AM2/3/2015 12:54 PM
AddressesBilling AddressInsert  BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. 12701 Padgett Switch Road Irvington, AL 365449/12/2014 6:58 PM
DetailsEntity NameUpdate BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.Bayou La Batre Area Health Development Board, Inc3/31/2014 4:25 PM
DetailsEntity SubnameUpdate SOUTHWEST ALABAMA HEALTH SERVICESSOUTHWEST ALABAMA HEALTH SERVICE3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 11:26 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/28/2013 10:20 AM
DetailsLast Recertification DateInsert   6/10/2010 1:41 PM
DetailsGrant NumberInsert  H80CS000986/10/2010 1:41 PM
Details340B IDInsert  CH04470A6/10/2010 1:41 PM
DetailsIs Authorizing Official EHB DataInsert   6/10/2010 1:41 PM
DatesLast Date That 340B Drugs PurchasedInsert   6/10/2010 1:41 PM
DetailsMedicare Provider NumberInsert   6/10/2010 1:41 PM
DetailsEntity NameInsert  BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.6/10/2010 1:41 PM
DetailsProgram CodeInsert  CH6/10/2010 1:41 PM
DetailsEntity SubnameInsert  SOUTHWEST ALABAMA HEALTH SERVICES6/10/2010 1:41 PM
DatesParticipating Approval DateInsert  6/10/2010 12:00:00 AM6/10/2010 1:41 PM
DetailsStateInsert  Active6/10/2010 1:41 PM
DatesRegistration DateInsert  6/9/2010 12:00:00 AM6/10/2010 1:41 PM
DatesSigned By DateInsert  5/20/2010 12:00:00 AM6/10/2010 1:41 PM
DatesStart DateInsert  7/1/2010 12:00:00 AM6/10/2010 1:41 PM
TerminationsTermination CommentsInsert   6/10/2010 1:41 PM
TerminationsTermination DateInsert   6/10/2010 1:41 PM
TerminationsTermination Effective DateInsert   6/10/2010 1:41 PM
TerminationsTermination ReasonInsert   6/10/2010 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True6/9/2010 12:22 PM
Medicaid BillingMedicaid: NumberInsert  63-00000156/9/2010 12:22 PM
Medicaid BillingMedicaid: StateInsert  AL6/9/2010 12:22 PM