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MOORE'S PHARMACY LLC
CH04196F ALABAMA REGIONAL MEDICAL SERVICES
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Covered Entity Details
Entity Name
ALABAMA REGIONAL MEDICAL SERVICES
Subdivision Name
MOBILE HEALTH UNIT
Type
HRSA-Funded Health Center
340B ID
CH04196F
Entity Address
712 25th St N
Birmingham, AL 35203-2400
Grant Number
H80CS00020
Participating Start Date
4/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MOORE'S PHARMACY LLC
Pharmacy Address
STE B MORGAN BLDG
3041 ENSLEY 5 POINTS W AVE
BIRMINGHAM, AL 35208-2792
Pharmacy Comments
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JIMMY LACEY, EXECUTIVE DIRECTOR
(205) 212-5653
Contract Pharmacy Representative
Moore's Pharmacy LLC
Regniald Moore, Owner
(205) 785-4223
Signed By Date
7/13/2015
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