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GEORGIA CVS PHARMACY, L.L.C.
RWI303030 Someone Cares, Inc. of Atlanta
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Covered Entity Details
Entity Name
Someone Cares, Inc. of Atlanta
Subdivision Name
Type
Ryan White Part A
340B ID
RWI303030
Entity Address
2193 Cascade Road SW
Atlanta, GA 30311
Grant Number
H89HA00007
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
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
4/11/2018
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 Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/5/2018
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