340B Drug Pricing Program Database
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CH04415AD ALBANY AREA PRIMARY HEALTH CARE, INC (Terminated)
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Main Details
Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
AAPHC Americus Behavioral Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031869
340B ID
CH04415AD
Grant Number
H80CS00763
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/4/2021
Last Recertification Date
2/14/2024
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Albany Area Primary Health Care, Inc.
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261
Primary Contact
Albany Area Primary Health Care, Inc
Susan Rakel, Director of 340B and Pharmacy Services
(229) 888-6559 Ext: 6217
Addresses
Street Address
615 Barlow St
Americus, GA 31709-4206
Billing Address
Albany Area Primary Health Care, Inc.
204 N Westover Blvd
Albany, GA 31707-2983
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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