Contract Pharmacy Details

PUBLIX PHARMACY #0522
CH040490 CURTIS V. COOPER PRIMARY HEALTH CARE, INC.

Covered Entity Details

Entity Name

CURTIS V. COOPER PRIMARY HEALTH CARE, INC.

Subdivision Name

FORMERLY WESTSIDE URBAN HLTH CTRS, INC.

Type

HRSA-Funded Health Center

340B ID

CH040490

Entity Address

106 EAST BROAD STREET
SAVANNAH, GA 31401

Grant Number

H80CS00082

Participating Start Date

12/1/1992

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

PUBLIX PHARMACY #0522

Pharmacy Address

5500 ABERCORN STREET STE 2
SAVANNAH, GA 31405

Pharmacy Comments

Contract Details

Approval Date

5/3/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Albert B. Grandy JR., CEO
(912) 527-1117

Contract Pharmacy Representative

Public
Amin Nrugesh, 340B Program manager
(863) 688-1188 Ext: 52388

Signed By Date

5/3/2023

340B Drug Pricing Program Database