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ALABAMA CVS PHARMACY, L.L.C.
CH042850 RURAL HEALTH MEDICAL PROGRAM, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH MEDICAL PROGRAM, INC.
Subdivision Name
Rural Health Medical Program, Inc.-Selma Health Center & Administrative Office
Type
HRSA-Funded Health Center
340B ID
CH042850
Entity Address
101 PARK PLACE
SELMA, AL 36701
Grant Number
H80CS00794
Participating Start Date
1/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04973
7 CAMDEN BYPASS
CAMDEN, AL 36726
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
KESHEE Danee DOZIER-SMITH, CEO
(334) 874-7428 Ext: 121
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2020
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