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CMC PHARMACY
RWIID361301 ALABAMA DEPARTMENT OF PUBLIC HEALTH
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Covered Entity Details
Entity Name
ALABAMA DEPARTMENT OF PUBLIC HEALTH
Subdivision Name
HIV AIDS DIVISION
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID361301
Entity Address
201 Monroe Street
Suite 1200
MONTGOMERY, AL 36104
Grant Number
X07HA00049
Participating Start Date
1/1/2004
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
CMC PHARMACY
Pharmacy Address
1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Pharmacy Comments
Contract Details
Approval Date
10/6/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terri Lynne Jenkins, ADAP Manager
(334) 206-9441
Contract Pharmacy Representative
Cahaba Medical Care
Greg Lochamy, Pharmacist
(205) 926-2992
Signed By Date
10/6/2020
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