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MEDITHRIFT PHARMACY INC
CH04479A PRIMARY HEALTH CARE CENTER OF DADE, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Subdivision Name
PRIMARY HEALTH CARE CENTER-Rossville at Fairview
Type
HRSA-Funded Health Center
340B ID
CH04479A
Entity Address
205 Jenkins Road
Rossville, GA 30741-4016
Grant Number
H80CS00649
Participating Start Date
1/1/2012
Last Recertification Date
2/18/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
MEDITHRIFT PHARMACY INC
Pharmacy Address
324 WEST PATTON STREET
P.O. BOX 791
LAFAYETTE, GA 30728
Pharmacy Comments
Contract Details
Approval Date
2/9/2012
Contract Begin Date
2/9/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DIANA U. ALLEN, CEO
(706) 620-4494 Ext: 8549
Contract Pharmacy Representative
Neal H. Florence, Pharmacist
(706) 638-3114
Signed By Date
2/3/2012
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