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WALGREEN CO.
CHC26591-00 CENTER FOR PANASIAN COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
CENTER FOR PANASIAN COMMUNITY SERVICES INC
Subdivision Name
CPACS Cosmo Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26591-00
Entity Address
6185 Buford Highway STE B
Norcross, GA 30071
Grant Number
H80CS26591
Participating Start Date
1/1/2015
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05898
5455 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chaiwon Kim, CEO
(770) 936-0969 Ext: 117
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2018
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