Contract Pharmacy Details

WELLS PHARMACY
CH040570 FAMILY HEALTH CENTER INC

Covered Entity Details

Entity Name

FAMILY HEALTH CENTER INC

Subdivision Name

FAMILY HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH040570

Entity Address

117 S 11th Ave
Laurel, MS 39440-4312

Grant Number

H80CS00538

Participating Start Date

10/1/1995

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

WELLS PHARMACY

Pharmacy Address

725 SAWMILL RD
LAUREL, MS 39440

Pharmacy Comments

Contract Details

Approval Date

1/14/2022

Contract Begin Date

2/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rashad Ali, CEO
(601) 425-3033 Ext: 156

Contract Pharmacy Representative

Wells Drugs
Jonathan Wells, Owner
(601) 426-2362

Signed By Date

1/14/2022