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GEORGIA CVS PHARMACY, L.L.C.
CH048080 McKinney Medical Center, Inc.
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Covered Entity Details
Entity Name
McKinney Medical Center, Inc.
Subdivision Name
MCKINNEY COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH048080
Entity Address
218 Quarterman St
Waycross, GA 31501-3547
Grant Number
H80CS00506
Participating Start Date
10/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04206
2700 OSBORNE RD.
SAINT MARYS, GA 31558
Pharmacy Comments
Contract Details
Approval Date
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
OLA SMITH, CEO
(912) 287-0301 Ext: 108
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/6/2023
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