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U SAVE IT PHARMACY SOUTH ALBANY
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
U SAVE IT PHARMACY SOUTH ALBANY
Pharmacy Address
1310 NEWTON RD
ALBANY, GA 31701-3480
Pharmacy Comments
Contract Details
Approval Date
8/11/2010
Contract Begin Date
8/17/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
8/2/2010
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