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EXPRESS PHARMACY
RWI303030 Someone Cares, Inc. of Atlanta
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Covered Entity Details
Entity Name
Someone Cares, Inc. of Atlanta
Subdivision Name
Type
Ryan White Part A
340B ID
RWI303030
Entity Address
2193 Cascade Road SW
Atlanta, GA 30311
Grant Number
H89HA00007
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
EXPRESS PHARMACY
Pharmacy Address
SAHAJANAND HEALTHCARE LLC
3330 PEACHTREE CORNERS CIRCLE
SUITE G
NORCROSS, GA 30092-3610
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/19/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Ronnie Earl Bass, CEO
(678) 921-2706 Ext: 3
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
7/15/2019
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