Contract Pharmacy Details

WRENS DRUG
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC.

Covered Entity Details

Entity Name

NEIGHBORHOOD IMPROVEMENT PROJECT, INC.

Subdivision Name

Medical Associates Plus @ Belle Terrace

Type

HRSA-Funded Health Center

340B ID

CH0438590

Entity Address

2467 Golden Camp Rd
Augusta, GA 30906-5515

Grant Number

H80CS08751

Participating Start Date

10/14/2008

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WRENS DRUG

Pharmacy Address

206 BROAD STREET
PO BOX 693
WRENS, GA 30833

Pharmacy Comments

Contract Details

Approval Date

10/14/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/30/2018
Ownership change

Contacts

Covered Entity Signing Official

Wesley Wood, CFO
(706) 790-4440 Ext: 100

Contract Pharmacy Representative

Michelle McCoy, Pharmacy Manager
(706) 547-2225

Signed By Date

10/14/2014