Pharmacy Details

GEORGIA CVS PHARMACY, L.L.C. - information as of 5/21/2025 12:49:17 AM

Name
GEORGIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 03777
312 SO. BROAD STREET
MONROE, GA 30655

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH040390	MEDLINK GEORGIA, INC.	Medlink Colbert	HRSA-Funded Health Center	11 CHARLIE MORRIS RD		COLBERT	GA	07/01/2021		7/1/2021 12:01 AM
Details	DSH110046	PIEDMONT WALTON HOSPITAL, INC.		Disproportionate Share Hospital	2151 WEST SPRING STREET		MONROE	GA	10/01/2020	01/01/2022	1/1/2022 12:01 AM
Details	DSH110074	PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC		Disproportionate Share Hospital	1199 PRINCE AVENUE		ATHENS	GA	10/01/2020	01/01/2025	1/1/2025 12:01 AM
Details	RRC110074-00	PIEDMONT ATHENS REGIONAL MEDICAL CE		Rural Referral Center	1199 PRINCE AVENUE		ATHENS	GA	12/09/2024		12/9/2024 12:15 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:09 PM
Details	Is Deleted	Insert			False	3/28/2013 4:09 PM
Addresses	Pharmacy Address	Insert			GEORGIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 03777 312 SO. BROAD STREET MONROE, GA 30655	3/28/2013 4:09 PM
Details	Name	Insert			GEORGIA CVS PHARMACY, L.L.C.	3/28/2013 4:09 PM