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GEORGIA CVS PHARMACY, L.L.C.
CHC24129-00 ATHENS NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
ATHENS NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Athens Neighborhood Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC24129-00
Entity Address
675 College Ave
Athens, GA 30601-2635
Grant Number
H80CS24129
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04518
920 E. ROBERT TOOMBS AVE.
WASHINGTON, GA 30673
Pharmacy Comments
Contract Details
Approval Date
7/7/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marcus Garner, CEO
(404) 788-5870
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/7/2022
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