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SHELLMAN DRUG CO
CH04334B CareConnect Health, Inc.
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Covered Entity Details
Entity Name
CareConnect Health, Inc.
Subdivision Name
CareConnect Family Practice
Type
HRSA-Funded Health Center
340B ID
CH04334B
Entity Address
23 Old School Rd
Georgetown, GA 39854-4627
Grant Number
H80CS00393
Participating Start Date
1/1/2010
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
SHELLMAN DRUG CO
Pharmacy Address
75 WEST RAILROAD STREET
PO BOX 420
SHELLMAN, GA 39886
Pharmacy Comments
Contract Details
Approval Date
9/22/2011
Contract Begin Date
9/22/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/5/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ajay Gehlot, CEO
(229) 273-8881
Contract Pharmacy Representative
Georgia Langford, Pharmacist
(229) 679-5070
Signed By Date
9/1/2011
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