Contract Pharmacy Details

M.N. PHARMACY LLC
CH042450 WHATLEY HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

WHATLEY HEALTH SERVICES, INC.

Subdivision Name

Maude L. Whatley Health Center

Type

HRSA-Funded Health Center

340B ID

CH042450

Entity Address

2731 MARTIN L KING JR. BLVD.
TUSCALOOSA, AL 35401

Grant Number

H80CS00094

Participating Start Date

1/1/2001

Last Recertification Date

2/10/2025

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

4/4/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135

Contract Pharmacy Representative

PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725

Signed By Date

4/4/2018

340B Drug Pricing Program Database