Contract Pharmacy Details

GEORGIA CVS PHARMACY, L.L.C.
CH044150 ALBANY AREA PRIMARY HEALTH CARE, INC

Covered Entity Details

Entity Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

ALBANY AREA PRIMARY HEALTH CARE, INC.

Type

HRSA-Funded Health Center

340B ID

CH044150

Entity Address

204 N.WESTOVER BLVD.
ALBANY, GA 31707

Grant Number

H80CS00763

Participating Start Date

4/1/2003

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

GEORGIA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 04267
214 EAST 16TH AVE.
CORDELE, GA 31015

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

Shelley Spires, Chief Executive Officer
(229) 888-6559 Ext: 6209

Contract Pharmacy Representative

CVS Health
Kelsey Kalish, Account Manager
(347) 443-0655

Signed By Date

10/15/2020

340B Drug Pricing Program Database