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GRAVES PHARMACY
CH045211G FIRST CHOICE PRIMARY CARE, INC.
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Covered Entity Details
Entity Name
FIRST CHOICE PRIMARY CARE, INC.
Subdivision Name
First Choice Primary Care Poplar St
Type
HRSA-Funded Health Center
340B ID
CH045211G
Entity Address
400 Poplar Street
Macon, GA 31201-3336
Grant Number
H80CS08242
Participating Start Date
7/1/2021
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GRAVES PHARMACY
Pharmacy Address
770 PINE ST STE 100
MACON, GA 31201-7565
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katherine McLeod, CEO
(478) 254-7204
Contract Pharmacy Representative
Graves Pharmacy
David Graves, Owner
(478) 745-0476
Signed By Date
4/11/2024
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