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WALGREEN CO.
CH0438280 JUNIPER HEALTH, INC.
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Covered Entity Details
Entity Name
JUNIPER HEALTH, INC.
Subdivision Name
JUNIPER HEALTH, INC.
Type
HRSA-Funded Health Center
340B ID
CH0438280
Entity Address
141 Main St
BEATTYVILLE, KY 41311
Grant Number
H80CS04203
Participating Start Date
4/1/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #18427
31 BIG HILL DR
BEATTYVILLE, KY 41311
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Ditsch, Chief Executive Officer
(606) 464-0151
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2018
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