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WALGREEN CO.
CH04681B RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
Rural Medical Services Inc. Cosby Center
Type
HRSA-Funded Health Center
340B ID
CH04681B
Entity Address
103 Wilton Springs Rd.
Newport, TN 37821
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 # 07049
1650 E ANDREW JOHNSON HWY
GREENEVILLE, TN 37745-4274
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
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