Contract Pharmacy Details

WINN-DIXIE PHARMACY #479
CH042450 WHATLEY HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

WHATLEY HEALTH SERVICES, INC.

Subdivision Name

Maude L. Whatley Health Center

Type

HRSA-Funded Health Center

340B ID

CH042450

Entity Address

2731 MARTIN L KING JR. BLVD.
TUSCALOOSA, AL 35401

Grant Number

H80CS00094

Participating Start Date

1/1/2001

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WINN-DIXIE PHARMACY #479

Pharmacy Address

9750 HIGHWAY 69 SOUTH
TUSCALOOSA, AL 35405

Pharmacy Comments

Contract Details

Approval Date

11/29/2012

Contract Begin Date

1/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/15/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135

Contract Pharmacy Representative

Curtis Hardin, Director of Pharmacy Managed Care
(864) 430-0906

Signed By Date

10/11/2012

340B Drug Pricing Program Database