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CH04039V Medlink Georgia, Inc (Active)
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Main Details
Name
Medlink Georgia, Inc
Subdivision Name
MedLink Lawrenceville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034074
340B ID
CH04039V
Grant Number
H80CS00427
Additional Details
Current Program Status
Active
Registration Date
10/6/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/7/2019
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
980 Lawrenceville Hwy
Lawrenceville, GA 30046
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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