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APAA LLC
CHC24129-01 ATHENS NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
ATHENS NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Athens Neighborhood Health Center, Inc. East
Type
HRSA-Funded Health Center
340B ID
CHC24129-01
Entity Address
402 Mckinley Dr
Athens, GA 30601-3261
Grant Number
H80CS24129
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2025
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
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/21/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
john wolfe, CFO
(706) 850-9041
Contract Pharmacy Representative
Brian Martin, Pharmacy Manager
(813) 956-0292
Signed By Date
1/14/2014
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