340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JACKSON MEDICAL CENTER LLC
FQHCLA429 Physicians Care of Clarke
Print
Covered Entity Details
Entity Name
Physicians Care of Clarke
Subdivision Name
Fulton Family Medical
Type
Health Center Program Look-Alike
340B ID
FQHCLA429
Entity Address
218 Main St
Fulton, AL 36446-0065
Grant Number
LALCS43504
Participating Start Date
1/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JACKSON MEDICAL CENTER LLC
Pharmacy Address
220 HOSPITAL DR
JACKSON, AL 36545
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
FARRELL A TURNER, CEO
(256) 201-0095
Contract Pharmacy Representative
Jackson Medical Center
Jennifer Ryland, CEO
(251) 246-9021
Signed By Date
1/17/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session