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WAL-MART PHARMACY 10-0889
CH044369F Primary Care Of Southwest Georgia, Inc.
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Covered Entity Details
Entity Name
Primary Care Of Southwest Georgia, Inc.
Subdivision Name
Primary Care of Southwest Georgia . - TCMS
Type
HRSA-Funded Health Center
340B ID
CH044369F
Entity Address
4681 US Hwy 84 Bypass
Thomasville, GA 31792
Grant Number
H80CS06454
Participating Start Date
10/1/2018
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0889
Pharmacy Address
15328 US 19 SOUTH
THOMASVILLE, GA 31757
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
EDWIN JAMES, CFO
(229) 723-2660 Ext: 2131
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/9/2024
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