Contract Pharmacy Details

ECKERD CORPORATION
CH044150 ALBANY AREA PRIMARY HEALTH CARE, INC

Covered Entity Details

Entity Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

ALBANY AREA PRIMARY HEALTH CARE, INC.

Type

HRSA-Funded Health Center

340B ID

CH044150

Entity Address

204 N.WESTOVER BLVD.
ALBANY, GA 31707

Grant Number

H80CS00763

Participating Start Date

4/1/2003

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #11854
300 SOUTH SLAPPEY BLVD.
ALBANY, GA 31701

Pharmacy Comments

Contract Details

Approval Date

10/9/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/23/2018
Ownership change

Contacts

Covered Entity Signing Official

Tary Brown, CEO
(229) 888-6559 Ext: 6204

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/9/2013

340B Drug Pricing Program Database