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U-SAVE IT PHARMACY-LEESBURG
CH04415C ALBANY AREA PRIMARY HEALTH CARE, INC
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Covered Entity Details
Entity Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
LEE MEDICAL ARTS CENTER
Type
HRSA-Funded Health Center
340B ID
CH04415C
Entity Address
235 Walnut Ave S
Leesburg, GA 31763
Grant Number
H80CS00763
Participating Start Date
4/1/2003
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
U-SAVE IT PHARMACY-LEESBURG
Pharmacy Address
100 TABATHA ST
LEESBURG, GA 31763
Pharmacy Comments
Contract Details
Approval Date
8/11/2010
Contract Begin Date
8/17/2010
Carve-In Effective Date
Contract Comments
7/11/11 - CHANGED CONTACT NAME FROM ROSSEVELT BROWN.
Contract Termination Date
Termination Reason
4/11/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
TARY BROWN, CEO
(228) 888-6559 Ext: 204
Contract Pharmacy Representative
PAULA NORMAN, EXECUTIVE VICE PRESIDENT
(229) 435-2050
Signed By Date
8/4/2010
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