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EXPRESS SCRIPTS PHARMACY, INC.
CHC24177-13 Cahaba Medical Care Foundation
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Covered Entity Details
Entity Name
Cahaba Medical Care Foundation
Subdivision Name
Cahaba Medical Care - Robinson Elementary
Type
HRSA-Funded Health Center
340B ID
CHC24177-13
Entity Address
301 61st St
Fairfield, AL 35064-1957
Grant Number
H80CS24177
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
10/22/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Waits, CEO
(205) 277-2396
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/22/2023
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