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MOSELEY DRUG CO
CH044150 ALBANY AREA PRIMARY HEALTH CARE, INC
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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
MOSELEY DRUG CO
Pharmacy Address
412 JOHNSON ST SE
PO BOX 5
DAWSON, GA 39842
Pharmacy Comments
Contract Details
Approval Date
10/15/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shelley Spires, Chief Executive Officer
(229) 888-6559 Ext: 6209
Contract Pharmacy Representative
TARA JACKSON, OWNER
(229) 995-2126
Signed By Date
10/15/2016
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