340B Drug Pricing Program Database
GEORGIA CVS PHARMACY, L.L.C.
FP31326 Thrive Healthcare Center, Inc. - information as of 4/29/2025 5:22:46 AM
Covered Entity Details
Entity Name
Thrive Healthcare Center, Inc.
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP31326
Entity Address
1214 N Columbia Ave
Suite D
Rincon, GA 31326
Grant Number
FPHPA006481
Participating Start Date
10/1/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07758
410 S. COLUMBIA AVE.
RINCON, GA 31326
Pharmacy Comments
Contract Details
Approval Date
3/30/2023
Contract Begin Date
3/30/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Stuart Carroll, Chief Financial Officer
(843) 260-7043
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
3/30/2023
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