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AHSSHC
CHC00836-11 South Central Primary Care Center, Inc.
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Covered Entity Details
Entity Name
South Central Primary Care Center, Inc.
Subdivision Name
South Central Primary Care Center - Administrative Building
Type
HRSA-Funded Health Center
340B ID
CHC00836-11
Entity Address
204 E. 4th St.
Ocilla, GA 31774-1539
Grant Number
H80CS00836
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AHSSHC
Pharmacy Address
EXPEDIEN RX PHARMACY
5050 WESLEY RD STE 120
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1
Contract Pharmacy Representative
Agape
Trenia Yielding, Executive Director
(407) 357-2601
Signed By Date
10/12/2018
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