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SCOTT'S PHARMACY LLC
CH0452890 ESCAMBIA COMMUNITY CLINICS INC
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Covered Entity Details
Entity Name
ESCAMBIA COMMUNITY CLINICS INC
Subdivision Name
Escambia Community Clinics, Inc. Corporate Offices
Type
HRSA-Funded Health Center
340B ID
CH0452890
Entity Address
2315 West Jackson Street
PENSACOLA, FL 32505-1736
Grant Number
H80CS08755
Participating Start Date
1/1/2009
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
SCOTT'S PHARMACY LLC
Pharmacy Address
6505 HIGHWAY 29 N
SCOTT'S PHARMACY
MOLINO, FL 32577-5276
Pharmacy Comments
Contract Details
Approval Date
4/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/16/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Contract Pharmacy Representative
Scotts Pharmacy LLC
Ron Scott, RPH
(850) 587-2511
Signed By Date
4/9/2019
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