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HEALTH CLINIC PHARMACY LLC
CH047080 MOBILE COUNTY BOARD OF HEALTH
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Covered Entity Details
Entity Name
MOBILE COUNTY BOARD OF HEALTH
Subdivision Name
FAMILY ORIENTED PRIMARY HEALTH CARE CLIN
Type
HRSA-Funded Health Center
340B ID
CH047080
Entity Address
251 N Bayou St
Mobile, AL 36603-5827
Grant Number
H80CS00318
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
HEALTH CLINIC PHARMACY LLC
Pharmacy Address
251 N BAYOU ST
MOBILE, AL 36603-5827
Pharmacy Comments
Contract Details
Approval Date
9/20/2012
Contract Begin Date
9/20/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan Stiegler, CEO
(251) 690-8833
Contract Pharmacy Representative
Semmes Pharmacy
Charles Cottrell, Owner
(251) 824-7979
Signed By Date
9/5/2012
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