340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARTFORD PHARMACY LLC DBA DALTON PHARMAC
CH04895M Southeast Alabama Rural Health Associates
Print
Covered Entity Details
Entity Name
Southeast Alabama Rural Health Associates
Subdivision Name
Dothan Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04895M
Entity Address
4300 West Main Street
Suite 300
Dothan, AL 36305
Grant Number
H80CS00376
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HARTFORD PHARMACY LLC DBA DALTON PHARMAC
Pharmacy Address
112 S 4TH AVE
HARTFORD, AL 36344
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
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
Dalton Pharmacies
Joe A. Dalton, President & Owner
(334) 797-7992
Signed By Date
10/9/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session