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INTERCEPT APOTHECARY LLC DBA INTERCEPT A
FQHCLA429 Physicians Care of Clarke
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Covered Entity Details
Entity Name
Physicians Care of Clarke
Subdivision Name
Fulton Family Medical
Type
Health Center Program Look-Alike
340B ID
FQHCLA429
Entity Address
218 Main St
Fulton, AL 36446-0065
Grant Number
LALCS43504
Participating Start Date
1/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
INTERCEPT APOTHECARY LLC DBA INTERCEPT A
Pharmacy Address
DONALD ANDERSON, CHIEF PHARMACY OFFICER
112 S PINE ST STE 107
FLORENCE, AL 35630
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
FARRELL A TURNER, CEO
(256) 201-0095
Contract Pharmacy Representative
Intercept Apothecary LLC
Donald Edward Anderson, Chief Pharmacy Officer
(334) 425-7614
Signed By Date
10/15/2024
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