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M.N. PHARMACY LLC
CH04526B PALMETTO HEALTH COUNCIL, INC
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Covered Entity Details
Entity Name
PALMETTO HEALTH COUNCIL, INC
Subdivision Name
YourTown Health
Type
HRSA-Funded Health Center
340B ID
CH04526B
Entity Address
101 Commerce Pl STE 1
Barnesville, GA 30204-1680
Grant Number
H80CS00460
Participating Start Date
4/1/2008
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
M.N. PHARMACY LLC
Pharmacy Address
DBA AMAZON PHARMACY #003
6701 NW 7TH ST., STE. #199
MIAMI, FL 33126
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/5/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jon W. Wollenzien Jr., Chief Executive Officer
(404) 929-8824 Ext: 222
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
1/12/2018
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