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WALGREEN CO
CH045211A FIRST CHOICE PRIMARY CARE, INC.
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Covered Entity Details
Entity Name
FIRST CHOICE PRIMARY CARE, INC.
Subdivision Name
First Choice Primary Care Warner Robins New Access Point
Type
HRSA-Funded Health Center
340B ID
CH045211A
Entity Address
207 GREEN ST
WARNER ROBINS, GA 31093-2727
Grant Number
H80CS08242
Participating Start Date
7/1/2014
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10884
1081 GA HIGHWAY 96
WARNER ROBINS, GA 31088
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
Katherine McLeod, CEO
(478) 254-7204
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2019
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