Contract Pharmacy Details

SCOTT-COOK PHARMACY
CH048950 SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)

Covered Entity Details

Entity Name

SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)

Subdivision Name

Administrative Offices

Type

HRSA-Funded Health Center

340B ID

CH048950

Entity Address

1414 Elba Hwy
Troy, AL 36079-6020

Grant Number

H80CS00376

Participating Start Date

7/1/1996

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

SCOTT-COOK PHARMACY

Pharmacy Address

SCOTT-COOK PHARMACY
1233 WESTGATE PKWY
DOTHAN, AL 36303

Pharmacy Comments

Contract Details

Approval Date

4/8/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JOHN A. LITTLE, CEO
(334) 670-6726

Contract Pharmacy Representative

Scott Cook Pharmacy
Marvin Cook, Owner
(334) 712-2000

Signed By Date

4/8/2015

340B Drug Pricing Program Database