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GEORGIA CVS PHARMACY, L.L.C.
CH045180 COMMUNITY HEALTH CARE SYSTEMS INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE SYSTEMS INC
Subdivision Name
COMMUNITY HEALTH CARE SYSTEMS, INC.
Type
HRSA-Funded Health Center
340B ID
CH045180
Entity Address
2251 W Elm St
Wrightsville, GA 31096-2017
Grant Number
H80CS00507
Participating Start Date
11/28/2005
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04565
960 N COLUMBIA ST
MILLEDGEVILLE, GA 31061
Pharmacy Comments
Contract Details
Approval Date
1/23/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carla Belcher, CEO
(478) 552-7384 Ext: 1211
Contract Pharmacy Representative
Community Health Care Systems, Inc.
Lamar Tidwell, CFO
(478) 552-7384 Ext: 1212
Signed By Date
1/23/2020
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