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ALABAMA CVS PHARMACY, L.L.C.
CH04245X WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Whatley Health Services at Carrollton
Type
HRSA-Funded Health Center
340B ID
CH04245X
Entity Address
376 Commerce Ave
Carrollton, AL 35447-2253
Grant Number
H80CS00094
Participating Start Date
4/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04946
113 3RD ST SE
ALICEVILLE, AL 35442
Pharmacy Comments
Contract Details
Approval Date
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Gay, CEO
(205) 614-6135
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2023
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