340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OCILLA PHARMACY, INC.
CHC00836-11 South Central Primary Care Center, Inc.
Print
Covered Entity Details
Entity Name
South Central Primary Care Center, Inc.
Subdivision Name
South Central Primary Care Center - Administrative Building
Type
HRSA-Funded Health Center
340B ID
CHC00836-11
Entity Address
204 E. 4th St.
Ocilla, GA 31774-1539
Grant Number
H80CS00836
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OCILLA PHARMACY, INC.
Pharmacy Address
515 N IRWIN AVE
OCILLA, GA 31774-5007
Pharmacy Comments
Contract Details
Approval Date
12/21/2021
Contract Begin Date
12/21/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1
Contract Pharmacy Representative
Ocilla Pharmacy, Inc.
John Price, Owner
(229) 468-5929
Signed By Date
12/21/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session