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CLINIC DRUG STORE
CH04334D 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
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
CLINIC DRUG STORE
Pharmacy Address
1001 E FORSYTH ST
PO BOX 445
AMERICUS, GA 31709
Pharmacy Comments
Contract Details
Approval Date
2/2/2012
Contract Begin Date
2/2/2012
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
Lee Pinnell, Owner
(229) 924-2783
Signed By Date
1/24/2012
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