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EXPRESS SCRIPTS PHARMACY, INC.
CH048130 VALLEY HEALTHCARE SYSTEM, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTHCARE SYSTEM, INC.
Subdivision Name
Fort Benning Road Health Center
Type
HRSA-Funded Health Center
340B ID
CH048130
Entity Address
1600 Fort Benning Road
Columbus, GA 31903-2837
Grant Number
H80CS00678
Participating Start Date
7/1/2006
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SARAH E. LANG, CEO
(706) 322-9599 Ext: 1011
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/15/2022
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