340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COLQUITT PHARMACY INC
FQHCLA384 Southwest Georgia Healthcare Clinics, Inc.
Print
Covered Entity Details
Entity Name
Southwest Georgia Healthcare Clinics, Inc.
Subdivision Name
Southwest Georgia Pediatric CLinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA384
Entity Address
205 Bresee Street
Donalsonville, GA 39845-1134
Grant Number
LALCS32518
Participating Start Date
7/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
COLQUITT PHARMACY INC
Pharmacy Address
215 W MAIN ST.
COLQUITT, GA 39837
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donna L Williams, CEO
(229) 220-1077
Contract Pharmacy Representative
Edison Pharmacy LLC DBA Lane Drug Co
Edward Reynolds, Owner
(229) 246-7200
Signed By Date
4/12/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session