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ALABAMA CVS PHARMACY, L.L.C.
HV358011 AIDS ACTION COALITION/DAVIS CLINIC
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Covered Entity Details
Entity Name
AIDS ACTION COALITION/DAVIS CLINIC
Subdivision Name
Type
Ryan White Part C
340B ID
HV358011
Entity Address
600 ST CLAIR BLDG 3
HUNTSVILLE, AL 35801
Grant Number
H76HA00624
Participating Start Date
4/1/2001
Last Recertification Date
1/30/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04882
1535 DECATUR HWY.
FULTONDALE, AL 35068
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary Elizabeth Marr, CEO
(256) 337-8283
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2020
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