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FOOD CITY PHARMACY #233
CH04479E PRIMARY HEALTH CARE CENTER OF DADE, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Subdivision Name
Gilbert Elementary SBHC
Type
HRSA-Funded Health Center
340B ID
CH04479E
Entity Address
87 S BURNT MILL RD
LA FAYETTE, GA 30728-4263
Grant Number
H80CS00649
Participating Start Date
4/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
FOOD CITY PHARMACY #233
Pharmacy Address
112 CRIMSON DRIVE
TRENTON, GA 30752
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DIANA U. ALLEN, CEO
(706) 620-4494 Ext: 8549
Contract Pharmacy Representative
Food City
Connie Reed, Administrative Assistant
(276) 623-5100 Ext: 5738
Signed By Date
1/16/2024
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