340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
APAA LLC
CH04901B East Georgia Healthcare Center, Inc.
Print
Covered Entity Details
Entity Name
East Georgia Healthcare Center, Inc.
Subdivision Name
East Georgia Healthcare Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH04901B
Entity Address
4357 East Louisiana Avenue
Soperton, GA 30457-3004
Grant Number
H80CS00512
Participating Start Date
7/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
APAA LLC
Pharmacy Address
D/B/A HOLIDAY PHARMACY
6815 N. DALE MABRY HIGHWAY
TAMPA, FL 33614
Pharmacy Comments
Contract Details
Approval Date
10/7/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JENNIE WREN DENMARK, CEO
(478) 237-6262 Ext: 107
Contract Pharmacy Representative
Brian Martin, Pharmacy Manager
(813) 956-0292
Signed By Date
10/7/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session