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APAA LLC
CHC25708-00 Four Corners Primary Care Center
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Covered Entity Details
Entity Name
Four Corners Primary Care Center
Subdivision Name
Four Corners Primary Care Center
Type
HRSA-Funded Health Center
340B ID
CHC25708-00
Entity Address
5300 Oakbrook Pkwy
Bldg 100, Suite 130
Norcross, GA 30093-2261
Grant Number
H80CS25708
Participating Start Date
10/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
APAA LLC
Pharmacy Address
D/B/A HOLIDAY PHARMACY
6815 N. DALE MABRY HIGHWAY
TAMPA, FL 33614
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/17/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian O. Williams, CEO
(770) 279-3141
Contract Pharmacy Representative
Brian Martin, Pharmacy Manager
(813) 956-0292
Signed By Date
1/10/2014
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