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WALGREEN CO.
CH046860 ACCESS FAMILY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
ACCESS FAMILY HEALTH SERVICES, INC.
Subdivision Name
Access Family Health Services-Smithville
Type
HRSA-Funded Health Center
340B ID
CH046860
Entity Address
60021 MONROE ST
Smithville, MS 38870-9700
Grant Number
H80CS00633
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02676
1728 HIGHWAY 45 NORTH
COLUMBUS, MS 39705
Pharmacy Comments
Contract Details
Approval Date
4/3/2012
Contract Begin Date
4/3/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARILYN SUMERFORD, CEO
(662) 651-4686 Ext: 8103
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/26/2012
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