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BROWN DRUG CO. INC. DBA MAPLESVILLE PHAR
CHC24177-02 CAHABA MEDICAL CARE FOUNDATION
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Covered Entity Details
Entity Name
CAHABA MEDICAL CARE FOUNDATION
Subdivision Name
Cahaba Medical Care - Maplesville Office
Type
HRSA-Funded Health Center
340B ID
CHC24177-02
Entity Address
9431 Alabama 22
Maplesville, AL 36750
Grant Number
H80CS24177
Participating Start Date
4/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BROWN DRUG CO. INC. DBA MAPLESVILLE PHAR
Pharmacy Address
9081 AL HIGHWAY 22
P.O. BOX 145
MAPLESVILLE, AL 36750-3221
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
Maplesville Pharmacy
Mark Conradi, Owner
(334) 366-2425
Signed By Date
10/22/2023
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