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WAL-MART PHARMACY 10-5422
CH044369D PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
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Covered Entity Details
Entity Name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Subdivision Name
PCSG - Bainbridge
Type
HRSA-Funded Health Center
340B ID
CH044369D
Entity Address
509 Wheat Ave.
Bainbridge, GA 39819-4321
Grant Number
H80CS06454
Participating Start Date
1/1/2016
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5422
Pharmacy Address
500 EAST ALICE STREET
BAINBRIDGE, GA 39819
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
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/11/2024
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