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CH04039H MEDLINK GEORGIA, INC (Active)
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Main Details
Name
MEDLINK GEORGIA, INC
Subdivision Name
MEDLINK ROYSTON
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014543
340B ID
CH04039H
Grant Number
H80CS00427
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/14/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Medlink Georgia, Inc
Dave Ward, CEO
(706) 788-3234
Primary Contact
Medlink Georgia, Inc
Dennis Kimbrell, Director of Pharmacy Services
(706) 788-3234 Ext: 2204
Addresses
Street Address
930 Franklin Springs St
ROYSTON, GA 30662
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/24/07 UPDATED ENTITY NAME(WAS MEDLINK LAVONIA); 1/24/07 UPDATED ADDR(WAS 12134 AUGUSTA ROAD, LAVONIA, GA 30553)
01/11/2010
April 2025
April 2025
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