Contract Pharmacy Details

CAMDEN PHARMACY INC.
CHC26592-00 Coastal Community Health Services, Inc.

Entity Name

Coastal Community Health Services, Inc.

Subdivision Name

Coastal Community Health Services

Type

HRSA-Funded Health Center

340B ID

CHC26592-00

Entity Address

106 Shoppers Way, Unit 1
Brunswick, GA 31525

Grant Number

H80CS26592

Participating Start Date

10/1/2014

Last Recertification Date

1/29/2024

Pharmacy Name

CAMDEN PHARMACY INC.

Pharmacy Address

214-B PROFESSIONAL CIRCLE
SAINT MARYS, GA 31558

Pharmacy Comments

Approval Date

4/15/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kavanaugh Chandler, CEO
(912) 275-8028 Ext: 1139

Signed By Date

4/15/2024

Contract Pharmacy Representative

Camden Pharmacy
anthony kicklighter, owner
(912) 673-8220