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WALGREENS SPECIALTY PHARMACY, LLC
CH031250 BLUESTONE HEALTH ASSOCIATION, INC.
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Covered Entity Details
Entity Name
BLUESTONE HEALTH ASSOCIATION, INC.
Subdivision Name
BLUESTONE HEALTH ASSOCIATION, INC.
Type
HRSA-Funded Health Center
340B ID
CH031250
Entity Address
3997 Beckley Rd
Princeton, WV 24740-7660
Grant Number
H80CS00450
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
7/3/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/4/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Hutchens, CEO
(304) 431-5499 Ext: 1168
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/3/2018
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