Pharmacy Details

GEORGIA CVS PHARMACY, L.L.C. - information as of 4/27/2025 1:02:16 AM

Name
GEORGIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 03773
802 NORTH HOUSTON ROAD
WARNER ROBINS, GA 31093

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	CH0452110	FIRST CHOICE PRIMARY CARE , INC	FIRST CHOICE PRIMARY CARE INC	HRSA-Funded Health Center	770 WALNUT STREET		MACON	GA	10/01/2019	04/01/2024	4/1/2024 12:01 AM
Details	CH045211C	FIRST CHOICE PRIMARY CARE, INC.	Ingram Pye Health Center	HRSA-Funded Health Center	855 Anthony Rd		Macon	GA	10/01/2024		10/1/2024 12:01 AM
Details	CH045211G	FIRST CHOICE PRIMARY CARE, INC.	First Choice Primary Care Poplar St	HRSA-Funded Health Center	400 Poplar Street		Macon	GA	04/01/2023		4/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:10 PM
Details	Is Deleted	Insert			False	3/28/2013 4:10 PM
Addresses	Pharmacy Address	Insert			GEORGIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 03773 802 NORTH HOUSTON ROAD WARNER ROBINS, GA 31093	3/28/2013 4:10 PM
Details	Name	Insert			GEORGIA CVS PHARMACY, L.L.C.	3/28/2013 4:10 PM