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JACK'S DISCOUNT DRUGS
CH04895G SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
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Covered Entity Details
Entity Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
Subdivision Name
SARHA DOCTORS CENTER
Type
HRSA-Funded Health Center
340B ID
CH04895G
Entity Address
1412 ELBA HWY
TROY, AL 36079
Grant Number
H80CS00376
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JACK'S DISCOUNT DRUGS
Pharmacy Address
MIDTOWN SHOPPING CENTER
15073 S US HIGHWAY 231
MIDLAND CITY, AL 36350-6305
Pharmacy Comments
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamylon Bowers, Chief Executive Officer
(334) 670-6726 Ext: 173
Contract Pharmacy Representative
Jack's Discount Drugs
William C. Dixon, President
(334) 983-4191
Signed By Date
10/5/2023
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