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BIRMINGHAM APOTHECARY
RWIID361301 ALABAMA DEPARTMENT OF PUBLIC HEALTH
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Covered Entity Details
Entity Name
ALABAMA DEPARTMENT OF PUBLIC HEALTH
Subdivision Name
HIV AIDS DIVISION
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID361301
Entity Address
201 Monroe Street
Suite 1200
MONTGOMERY, AL 36104
Grant Number
X07HA00049
Participating Start Date
1/1/2004
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
BIRMINGHAM APOTHECARY
Pharmacy Address
1032 20TH ST S
BIRMINGHAM, AL 35205-2606
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Hatchett, Alabama RWHAP Part B Director
(334) 206-2615
Contract Pharmacy Representative
AP Equity II LLC
Ankit Patel, President
(205) 251-4248
Signed By Date
10/9/2019
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