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LEE AND PICKELS DRUGS - TROUPEVILLE
CH044369A PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
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Covered Entity Details
Entity Name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH044369A
Entity Address
360 COLLEGE STREET
BLAKELY, GA 39823
Grant Number
H80CS06454
Participating Start Date
12/6/2005
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
LEE AND PICKELS DRUGS - TROUPEVILLE
Pharmacy Address
19664 VALDOSTA HWY STE A
VALDOSTA, GA 31602-8300
Pharmacy Comments
Contract Details
Approval Date
7/15/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angie McVey, CEO
(229) 723-2660 Ext: 7140
Contract Pharmacy Representative
Lee and Pickels Drugs-troupeville
Kasey Knight, Owner
(229) 263-4061
Signed By Date
7/15/2023
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