340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

SOUTHSIDE INFUSION
CH046900 MEDCURA HEALTH, INC.

Covered Entity Details

STONE MOUNTAIN
HRSA-Funded Health Center
CH046900
5582 MEMORIAL DRIVE
STONE MOUNTAIN, GA 30083
H80CS00179
4/1/2004
2/16/2025


Pharmacy Details

7700 MAIN ST STE 210
HOUSTON, TX 77030-4457

Contract Details

4/11/2019
7/1/2019

7/2/2021
Business decision by covered entity and/or pharmacy


Contacts


Jeff Taylor, Chief Executive Officer
(404) 298-3250



Southside Pharmacy
Roshan Koppuzhayil, Director of Pharmacy Operations
(832) 495-5597
4/11/2019