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LEE AND PICKELS DRUGS - TROUPEVILLE
CH044369E 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 - Quitman
Type
HRSA-Funded Health Center
340B ID
CH044369E
Entity Address
907 N. Court St
Quitman, GA 31643-1315
Grant Number
H80CS06454
Participating Start Date
7/1/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
LEE AND PICKELS DRUGS - TROUPEVILLE
Pharmacy Address
19664 VALDOSTA HWY STE A
VALDOSTA, GA 31602-8300
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EDWIN JAMES, CFO
(229) 723-2660 Ext: 2131
Contract Pharmacy Representative
Lee and Pickels Drugs-troupeville
Kasey Knight, Owner
(229) 263-4061
Signed By Date
7/11/2024
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