Contract Pharmacy Details

RYALS DRUG STORE
CH045180 COMMUNITY HEALTH CARE SYSTEMS INC

Covered Entity Details

Entity Name

COMMUNITY HEALTH CARE SYSTEMS INC

Subdivision Name

COMMUNITY HEALTH CARE SYSTEMS, INC.

Type

HRSA-Funded Health Center

340B ID

CH045180

Entity Address

2251 W Elm St
Wrightsville, GA 31096-2017

Grant Number

H80CS00507

Participating Start Date

11/28/2005

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RYALS DRUG STORE

Pharmacy Address

12 S SECOND AVE
MC RAE, GA 31055-4659

Pharmacy Comments

Contract Details

Approval Date

7/7/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/16/2024
Ownership change

Contacts

Covered Entity Signing Official

Carla Belcher, CEO
(478) 552-7384 Ext: 1211

Contract Pharmacy Representative

Ryals Drug Store
Hugh Yawn, Owner
(229) 868-6735

Signed By Date

7/7/2023