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ALABAMA CVS PHARMACY, L.L.C.
CH04245E WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
SUMTER COUNTY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04245E
Entity Address
107 HOSPITAL DRIVE
LIVINGSTON, AL 35470
Grant Number
H80CS00094
Participating Start Date
7/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04969
536 HUDSON DR., PO BOX 653
GORDO, AL 35466
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
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
10/16/2023
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