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WALGREEN CO.
CH03224C PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)
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Covered Entity Details
Entity Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)
Subdivision Name
MAIN STREET PHYSICIANS
Type
HRSA-Funded Health Center
340B ID
CH03224C
Entity Address
157 NORTH MAIN STREET, STE A
SUFFOLK, VA 23434
Grant Number
H80CS00073
Participating Start Date
9/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15446
118 W CONSTANCE RD
SUFFOLK, VA 23434
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ANGELA FUTRELL, CEO
(757) 591-0643 Ext: 1120
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2019
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