Contract Pharmacy Details

DOCTORS PHARMACY
CH04334D CareConnect Health, Inc.

Covered Entity Details

Entity Name

CareConnect Health, Inc.

Subdivision Name

CareConnect Family Practice

Type

HRSA-Funded Health Center

340B ID

CH04334D

Entity Address

205 Rees ST
Americus, GA 31709-3738

Grant Number

H80CS00393

Participating Start Date

1/1/2010

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

DOCTORS PHARMACY

Pharmacy Address

611 E LAMAR ST STE B
AMERICUS, GA 31709-3744

Pharmacy Comments

Contract Details

Approval Date

10/26/2011

Contract Begin Date

10/26/2011

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ajay Gehlot, CEO
(229) 273-8881

Contract Pharmacy Representative

Spencer Smith, Pharmacist
(229) 928-9010

Signed By Date

10/25/2011