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MEDI-SAVE PHARMACY
CH04415J ALBANY AREA PRIMARY HEALTH CARE, INC
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Covered Entity Details
Entity Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
SOUTH ALBANY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH04415J
Entity Address
1300 Newton Rd
Albany, GA 31701-3424
Grant Number
H80CS00763
Participating Start Date
7/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MEDI-SAVE PHARMACY
Pharmacy Address
800 SOUTH SLAPPEY DRIVE
ALBANY, GA 31701
Pharmacy Comments
Contract Details
Approval Date
6/16/2011
Contract Begin Date
6/16/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
TARY BROWN, CEO
(228) 888-6559 Ext: 204
Contract Pharmacy Representative
ANGELA DAVIS, PHARMACIST
(229) 435-1306
Signed By Date
9/11/2012
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