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ALLIANCE COMMUNITY PHARMACY CORPORATION
FP30303 Empowerment Resource Center
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Covered Entity Details
Entity Name
Empowerment Resource Center
Subdivision Name
Comprehensive Intervention Clinic
Type
Family Planning (Title X only)
340B ID
FP30303
Entity Address
230 Peachtree St NW
SUITE 1800
ATLANTA, GA 30303-1514
Grant Number
FPHPA046164
Participating Start Date
4/1/2016
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
ALLIANCE COMMUNITY PHARMACY CORPORATION
Pharmacy Address
D/B/A ALLIANCE COMMUNITY PHARMACY
1016 PIEDMONT AVE NE
ATLANTA, GA 30309
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jacqueline Brown, Chief Executive Officer
(404) 526-1145
Contract Pharmacy Representative
Alliance Community Pharmacy, Corp.
Craig Bates, CEO
(404) 461-9105
Signed By Date
4/12/2018
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