340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLMES PHARMACY
TB30233 BUTTS COUNTY HEALTH DEPARTMENT
Print
Covered Entity Details
Entity Name
BUTTS COUNTY HEALTH DEPARTMENT
Subdivision Name
TB CLINIC
Type
Tuberculosis
340B ID
TB30233
Entity Address
463 ERNEST BILES DRIVE
SUITE A
JACKSON, GA 30233-2229
Grant Number
NU52PS910250
Participating Start Date
1/1/2001
Last Recertification Date
5/15/2024
Pharmacy Details
Pharmacy Name
HOLMES PHARMACY
Pharmacy Address
136 COMMERCE AVE
PO BOX 972
LAGRANGE, GA 30241-2338
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/17/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROSE-MARIE F SALES, DIRECTOR, TUBERCULOSIS PROGRAM
(404) 657-2597
Contract Pharmacy Representative
Perry Prather, Pharmacist
(706) 884-7301
Signed By Date
10/6/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session