Contract Pharmacy Details

CITY DRUG
FQHCLA429C Physicians Care of Clarke

Covered Entity Details

Entity Name

Physicians Care of Clarke

Subdivision Name

Physicians Care of Grove Hill

Type

Health Center Program Look-Alike

340B ID

FQHCLA429C

Entity Address

127 Clark St Ste C
Grove Hill, AL 36451-3050

Grant Number

LALCS43504

Participating Start Date

1/1/2022

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

CITY DRUG

Pharmacy Address

123 JACKSON ST
PO BOX 790
GROVE HILL, AL 36451

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

FARRELL A TURNER, CEO
(256) 201-0095

Contract Pharmacy Representative

City Drugs
Brooks Davis, Owner
(251) 275-3669

Signed By Date

10/16/2023