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CLINICAL SOLUTIONS, LLC
STD361171 Montgomery Women's Facility
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Covered Entity Details
Entity Name
Montgomery Women's Facility
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD361171
Entity Address
12085 Wares Ferry Rd
Montgomery, AL 36117
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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