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GEORGIA CVS PHARMACY, L.L.C.
CH0421720 Oconee Valley Healthcare, Inc.
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Covered Entity Details
Entity Name
Oconee Valley Healthcare, Inc.
Subdivision Name
Oconee Valley Healthcare, Inc. Greensboro
Type
HRSA-Funded Health Center
340B ID
CH0421720
Entity Address
803 S Main St
Greensboro, GA 30642-1211
Grant Number
H80CS00764
Participating Start Date
1/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04565
960 N COLUMBIA ST
MILLEDGEVILLE, GA 31061
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dave A Ringer, CEO
(706) 453-1201
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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