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BOAZ DISCOUNT DRUGS INC
CH04412C QUALITY OF LIFE HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
QUALITY OF LIFE HEALTH SERVICES, INC.
Subdivision Name
SARDIS CITY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH04412C
Entity Address
1989 SARDIS DRIVE
BOAZ, AL 35956-2344
Grant Number
H80CS00658
Participating Start Date
7/1/2004
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
BOAZ DISCOUNT DRUGS INC
Pharmacy Address
10460 AL HIGHWAY 168 STE 1
BOAZ, AL 35957-1951
Pharmacy Comments
Contract Details
Approval Date
10/31/2012
Contract Begin Date
10/31/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/4/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WAYNE ROWE, CEO
(256) 492-0131
Contract Pharmacy Representative
Dale Johnson, Owner
(256) 593-6546
Signed By Date
9/20/2012
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