Contract Pharmacy Details

GRAVES PHARMACY
CH045211A FIRST CHOICE PRIMARY CARE, INC.

Covered Entity Details

Entity Name

FIRST CHOICE PRIMARY CARE, INC.

Subdivision Name

First Choice Primary Care Warner Robins New Access Point

Type

HRSA-Funded Health Center

340B ID

CH045211A

Entity Address

207 GREEN ST
WARNER ROBINS, GA 31093-2727

Grant Number

H80CS08242

Participating Start Date

7/1/2014

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

GRAVES PHARMACY

Pharmacy Address

770 PINE ST STE 100
MACON, GA 31201-7565

Pharmacy Comments

Contract Details

Approval Date

7/15/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/2/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Katherine McLeod, CEO
(478) 254-7204

Contract Pharmacy Representative

David Graves, Owner
(478) 745-0476

Signed By Date

7/15/2015

340B Drug Pricing Program Database