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FIRST CHOICE COMMUNITY PHARMACY
CH0452110 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 INC
Type
HRSA-Funded Health Center
340B ID
CH0452110
Entity Address
770 WALNUT STREET
MACON, GA 31201
Grant Number
H80CS08242
Participating Start Date
10/1/2007
Last Recertification Date
2/2/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
FIRST CHOICE COMMUNITY PHARMACY
Pharmacy Address
770 WALNUT STREET SUITE 100
MACON, GA 31201
Pharmacy Comments
Contract Details
Approval Date
3/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Katherine McLeod, CEO
(478) 254-7204
Contract Pharmacy Representative
Cardinal Health
Curtis Hartin, Dir. Community Health Center Pharmacies
(864) 430-0906
Signed By Date
3/15/2016
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