340B Drug Pricing Program Database
GEORGIA CVS PHARMACY, L.L.C. - information as of 4/29/2025 5:21:16 AM
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Name
GEORGIA CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 04514
111 E. 8TH ST.
TIFTON, GA 31794
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
CAH111328-00
Phoebe Worth Medical Center
Critical Access Hospital
807 South Isabella Street
Sylvester
GA
10/01/2020
10/1/2020 12:01 AM
Details
DSH110073
DORMINY MEDICAL CENTER
Disproportionate Share Hospital
200 PERRY HOUSE ROAD
FITZGERALD
GA
04/01/2020
05/01/2022
5/1/2022 12:01 AM
Details
DSH110095
TIFT REGIONAL HEALTH SYSTEM, INC
DBA TIFT REGIONAL MEDICAL CENTER
Disproportionate Share Hospital
901 E. 18TH ST.
TIFTON
GA
01/01/2024
1/1/2024 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 # 04514 111 E. 8TH ST. TIFTON, GA 31794
3/28/2013 4:10 PM
Details
Name
Insert
GEORGIA CVS PHARMACY, L.L.C.
3/28/2013 4:10 PM
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