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HARTWELL RX INC
CH040390 MEDLINK GEORGIA, INC.
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Covered Entity Details
Entity Name
MEDLINK GEORGIA, INC.
Subdivision Name
Medlink Colbert
Type
HRSA-Funded Health Center
340B ID
CH040390
Entity Address
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Grant Number
H80CS00427
Participating Start Date
7/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HARTWELL RX INC
Pharmacy Address
DBA HARTWELL DRUGS
118 ATHENS STREET
HARTWELL, GA 30643
Pharmacy Comments
Contract Details
Approval Date
2/10/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/9/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dave Ward, CEO
(706) 788-3234
Contract Pharmacy Representative
CORPORATION
Lance Boles, Owner/Pharmacist
(706) 376-5801
Signed By Date
2/10/2016
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