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CLINICAL SOLUTIONS, LLC
STD365021 Fountain Correctional Facility
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Covered Entity Details
Entity Name
Fountain Correctional Facility
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD365021
Entity Address
9677 AL-21
Atmore, AL 36502
Grant Number
NH25PS005129
Participating Start Date
10/1/2024
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
CLINICAL SOLUTIONS, LLC
Pharmacy Address
416 MARY LINDSAY POLK DR
STE 515
FRANKLIN, TN 37067-6212
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah Wright Crook, Office of Health Services Deputy Commissioner
(334) 314-0037
Contract Pharmacy Representative
Clinical Solutions Pharmacy
Chase Tatum, Director, Supply Chain Management
(806) 544-4718
Signed By Date
4/14/2025
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