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T & C PHARMACY
CH04895B SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
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Covered Entity Details
Entity Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Subdivision Name
CLAYTON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04895B
Entity Address
7 Western Byp
Clayton, AL 36016-2013
Grant Number
H80CS00376
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
T & C PHARMACY
Pharmacy Address
101 PARISH AVE
P.O. BOX 594
OPP, AL 36467
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
T and C Pharmacy Inc.
Rebecca V Simmons, Owner and President
(334) 493-4517
Signed By Date
10/5/2023
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