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CENTER DRUGS OF DALEVILLE
CH04895K SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
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Covered Entity Details
Entity Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
Subdivision Name
SLOCOMB FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04895K
Entity Address
162 South Dalton Street
SLOCOMB, AL 36375
Grant Number
H80CS00376
Participating Start Date
4/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CENTER DRUGS OF DALEVILLE
Pharmacy Address
181 HIGHWAY 84 W
DALEVILLE, AL 36322-9113
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
BBMB-Center Drugs
Stacy Boucher, owner
(334) 598-4242
Signed By Date
10/9/2023
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