Contract Pharmacy Details

GRIFFIN PHARMACY SIPSEY
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

GRIFFIN PHARMACY SIPSEY

Pharmacy Address

3844 SIPSEY RD.
PO BOX 560
SIPSEY, AL 35584

Pharmacy Comments

Contract Details

Approval Date

10/11/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/15/2019
OPA Terminated due to audit finding

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Steve Griffin, Owner
(205) 648-2730

Signed By Date

10/11/2013