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CARROLLTON DRUGS, INC
CH042450 WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Maude L. Whatley Health Center
Type
HRSA-Funded Health Center
340B ID
CH042450
Entity Address
2731 MARTIN L KING JR. BLVD.
TUSCALOOSA, AL 35401
Grant Number
H80CS00094
Participating Start Date
1/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CARROLLTON DRUGS, INC
Pharmacy Address
25700 HIGHWAY 17
CARROLLTON, AL 35447
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Gay, CEO
(205) 614-6135
Contract Pharmacy Representative
Pickens County Medical Center
David Handley, President
(205) 367-2476
Signed By Date
10/15/2020
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