340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
CH044369B PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Print
Covered Entity Details
Entity Name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Subdivision Name
PCSG - Thomasville
Type
HRSA-Funded Health Center
340B ID
CH044369B
Entity Address
454 Smith Ave
Thomasville, GA 31792-5535
Grant Number
H80CS06454
Participating Start Date
10/1/2014
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11794
11343 US HIGHWAY 319 N
THOMASVILLE, GA 31757
Pharmacy Comments
Contract Details
Approval Date
7/23/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Michael Offenbecker, Senior Analyst for Implementation
(847) 964-8132
Signed By Date
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session