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WALGREEN CO.
CH041960 ALABAMA REGIONAL MEDICAL SERVICES
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Covered Entity Details
Entity Name
ALABAMA REGIONAL MEDICAL SERVICES
Subdivision Name
METRO HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH041960
Entity Address
712 25TH STREET NORTH
BIRMINGHAM, AL 35203
Grant Number
H80CS00020
Participating Start Date
7/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19797
4689 PINSON BLVD
PINSON, AL 35126
Pharmacy Comments
Contract Details
Approval Date
7/12/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Gardner, CEO
(205) 212-5653
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2018
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