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WAUKA MOUNTAIN PHARMACY, INC
CH04211P GEORGIA MOUNTAINS HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Subdivision Name
Fannin County Medical and Admin consolidated site
Type
HRSA-Funded Health Center
340B ID
CH04211P
Entity Address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Grant Number
H80CS00093
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAUKA MOUNTAIN PHARMACY, INC
Pharmacy Address
WAUKA MOUNTAIN PHARMACY
5233 CLEVELAND HWY
PO BOX 410
CLERMONT, GA 30527
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Miracle, CEO
(706) 946-5610
Contract Pharmacy Representative
Wauka Mtn Pharmacy
Shweta Woodsmall, Owner
(770) 983-9556
Signed By Date
10/15/2020
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