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APAA LLC
CH04518A COMMUNITY HEALTH CARE SYSTEMS INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE SYSTEMS INC
Subdivision Name
TENNILLE COMMUNITY HLTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04518A
Entity Address
116 SMITH ST
TENNILLE, GA 31089-1465
Grant Number
H80CS00507
Participating Start Date
11/28/2005
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
APAA LLC
Pharmacy Address
D/B/A HOLIDAY PHARMACY
6815 N. DALE MABRY HIGHWAY
TAMPA, FL 33614
Pharmacy Comments
Contract Details
Approval Date
10/10/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carla Belcher, CEO
(478) 552-7384 Ext: 1211
Contract Pharmacy Representative
Brian Martin, Pharmacy Manager
(813) 956-0292
Signed By Date
10/10/2013
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