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WINN-DIXIE PHARMACY #479
CH04245E WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
SUMTER COUNTY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04245E
Entity Address
107 HOSPITAL DRIVE
LIVINGSTON, AL 35470
Grant Number
H80CS00094
Participating Start Date
7/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WINN-DIXIE PHARMACY #479
Pharmacy Address
9750 HIGHWAY 69 SOUTH
TUSCALOOSA, AL 35405
Pharmacy Comments
Contract Details
Approval Date
11/29/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah H. Tucker, CEO
(205) 349-3250
Contract Pharmacy Representative
Curtis Hardin, Director of Pharmacy Managed Care
(864) 430-0906
Signed By Date
10/11/2012
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