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GEORGIA CVS PHARMACY, L.L.C.
STD303036 Someone Cares, Inc. of Atlanta
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Covered Entity Details
Entity Name
Someone Cares, Inc. of Atlanta
Subdivision Name
Atlanta Location
Type
Sexually Transmitted Diseases
340B ID
STD303036
Entity Address
2193 Cascade Road SW
Atlanta, GA 30311
Grant Number
NU65PS923756
Participating Start Date
4/1/2016
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02086
2014 POWERS FERRY ROAD SE STE 100
ATLANTA, GA 30339-5033
Pharmacy Comments
Contract Details
Approval Date
4/2/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronnie Earl Bass, CEO
(678) 921-2706 Ext: 3
Contract Pharmacy Representative
CVS
Jeff Noone, Director
(412) 660-1513
Signed By Date
4/2/2018
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