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PUBLIX PHARMACY #0450
CH044150 ALBANY AREA PRIMARY HEALTH CARE, INC
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Covered Entity Details
Entity Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
ALBANY AREA PRIMARY HEALTH CARE, INC.
Type
HRSA-Funded Health Center
340B ID
CH044150
Entity Address
204 N.WESTOVER BLVD.
ALBANY, GA 31707
Grant Number
H80CS00763
Participating Start Date
4/1/2003
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PUBLIX PHARMACY #0450
Pharmacy Address
2715 DAWSON ROAD
ALBANY, GA 31707
Pharmacy Comments
Contract Details
Approval Date
4/5/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
4/5/2022
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