Contract Pharmacy Details

WALGREEN CO.
CH04681E RURAL MEDICAL SERVICES, INC.

Covered Entity Details

Entity Name

RURAL MEDICAL SERVICES, INC.

Subdivision Name

Chestnut Hill Center

Type

HRSA-Funded Health Center

340B ID

CH04681E

Entity Address

3222 Chestnut Hill School Rd
Dandridge, TN 37725-7238

Grant Number

H80CS00406

Participating Start Date

7/1/2002

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11813
251 S CUMBERLAND ST
MORRISTOWN, TN 37813

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

LARRY STANIFER, CEO
(423) 613-3300

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/15/2019

340B Drug Pricing Program Database