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GEORGIA CVS PHARMACY, L.L.C.
CH04808B McKinney Medical Center, Inc.
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Covered Entity Details
Entity Name
McKinney Medical Center, Inc.
Subdivision Name
MCKINNEY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04808B
Entity Address
3919 Main St
Folkston, GA 31537-7545
Grant Number
H80CS00506
Participating Start Date
7/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05737
1402 BOONE ST.
KINGSLAND, GA 31548
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
OLA SMITH, CEO
(912) 287-0301 Ext: 108
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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