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ROCHELLE DRUG COMPANY
CH04334E CareConnect Health, Inc.
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Covered Entity Details
Entity Name
CareConnect Health, Inc.
Subdivision Name
CareConnect Family Practice and Pediatrics
Type
HRSA-Funded Health Center
340B ID
CH04334E
Entity Address
636 2nd Ave
Rochelle, GA 31079
Grant Number
H80CS00393
Participating Start Date
1/1/2010
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
ROCHELLE DRUG COMPANY
Pharmacy Address
600 SECOND AVENUE
ROCHELLE, GA 31079
Pharmacy Comments
Contract Details
Approval Date
9/9/2011
Contract Begin Date
9/9/2011
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
Mike Miller, Pharmacist
(229) 365-7447
Signed By Date
8/22/2011
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