Contract Pharmacy Details

ELDER-CARE PHARMACY-AUGUSTA
CH0421720 Oconee Valley Healthcare, Inc.

Entity Name

Oconee Valley Healthcare, Inc.

Subdivision Name

Greensboro

Type

HRSA-Funded Health Center

340B ID

CH0421720

Entity Address

803 S Main St
Greensboro, GA 30642-1211

Grant Number

H80CS00764

Participating Start Date

1/1/2002

Last Recertification Date

1/31/2024

Pharmacy Name

ELDER-CARE PHARMACY-AUGUSTA

Pharmacy Address

4315 BELAIR FRONTAGE ROAD
AUGUSTA, GA 30909-9412

Pharmacy Comments

Approval Date

4/13/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date

7/1/2020

Termination Reason

Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

CHARLES CULPEPPER, PHARMACY DIRECTOR
(706) 453-1201

Signed By Date

4/13/2020

Contract Pharmacy Representative

Eldercare Pharmacy
Deborah MacLean, Director of Pharmacy Resources
(888) 858-6051