Contract Pharmacy Details

FRED'S PHARMACY 1026
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

FRED'S PHARMACY 1026

Pharmacy Address

1001 N. SLAPPEY BLVD
ALBANY, GA 31701

Pharmacy Comments

Contract Details

Approval Date

1/7/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/14/2018
Pharmacy closed

Contacts

Covered Entity Signing Official

Shelley Spires, Chief Executive Officer
(229) 888-6559 Ext: 6209

Contract Pharmacy Representative

Fred's Pharmacy
Betty Ngo, Sr. Director 340B Program Operations
(901) 481-0346

Signed By Date

1/7/2017

340B Drug Pricing Program Database