Contract Pharmacy Details

PARKS PHARMACY
CH040130 HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

HEALTH SERVICES, INC.

Subdivision Name

River Region

Type

HRSA-Funded Health Center

340B ID

CH040130

Entity Address

1845 CHERRY STREET
MONTGOMERY, AL 36107

Grant Number

H80CS00795

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

PARKS PHARMACY

Pharmacy Address

1323-A MULBERRY ST
MONTGOMERY, AL 36106

Pharmacy Comments

Contract Details

Approval Date

2/15/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Bernell C. Mapp, CEO
(334) 265-2454

Contract Pharmacy Representative

Dee Parks, President
(334) 264-1416

Signed By Date

1/3/2013