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WALGREEN CO.
CHC24109-00 HOPE FAMILY HEALTH SERVICES
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Covered Entity Details
Entity Name
HOPE FAMILY HEALTH SERVICES
Subdivision Name
HOPE Family Health - Westmoreland
Type
HRSA-Funded Health Center
340B ID
CHC24109-00
Entity Address
1124 New Hwy 52 E
Westmoreland, TN 37186-5062
Grant Number
H80CS24109
Participating Start Date
10/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09587
450 HIGHWAY 52 BY-PASS W
LAFAYETTE, TN 37083
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Cox, Director of Pharmacy Services
(615) 644-0495
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2018
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