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GEORGIA CVS PHARMACY, L.L.C.
CH04743G GEORGIA HIGHLANDS MEDICAL SERVICE INC
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Covered Entity Details
Entity Name
GEORGIA HIGHLANDS MEDICAL SERVICE INC
Subdivision Name
GHMS Cumming Elementary Center
Type
HRSA-Funded Health Center
340B ID
CH04743G
Entity Address
540 Dahlonega Street
Cumming, GA 30040-2110
Grant Number
H80CS00470
Participating Start Date
7/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04682
4895 POST RD.
CUMMING, GA 30040
Pharmacy Comments
Contract Details
Approval Date
4/9/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Todd Shifflet, CEO
(770) 887-1668 Ext: 1102
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/9/2024
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