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NORTHCUTT DRUG CO
CH048950 SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
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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
NORTHCUTT DRUG CO
Pharmacy Address
1774 W MAIN ST
DOTHAN, AL 36301-1318
Pharmacy Comments
Contract Details
Approval Date
1/18/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN A. LITTLE, CEO
(334) 670-6726
Contract Pharmacy Representative
Glenn Northcutt, Owner
(334) 793-9538
Signed By Date
1/18/2016
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