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H & W APOTHECARY
CH04245AD WHATLEY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES INC
Subdivision Name
Whatley Health Services at Aliceville
Type
HRSA-Funded Health Center
340B ID
CH04245AD
Entity Address
432 5th St NW
Aliceville, AL 35442
Grant Number
H80CS00094
Participating Start Date
1/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
H & W APOTHECARY
Pharmacy Address
211 1ST ST S
REFORM, AL 35481-8017
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
Pickens County Medical Center
David Handley, President
(205) 367-2476
Signed By Date
10/14/2023
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