Contract Pharmacy Details

EDISON PHARMACY LLC
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

EDISON PHARMACY LLC

Pharmacy Address

D/B/A LANE DRUG CO
19427 HARTFORD ST
EDISON, GA 39846

Pharmacy Comments

Contract Details

Approval Date

1/13/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Edison Pharmacy LLC DBA Lane Drug Co
Edward Reynolds, Owner
(229) 246-7200

Signed By Date

1/13/2020

340B Drug Pricing Program Database