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WALGREENS MAIL SERVICE, INC.
CH025320 FREDERIKSTED HEALTH CARE INC
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Covered Entity Details
Entity Name
FREDERIKSTED HEALTH CARE INC
Subdivision Name
FREDERIKSTED HEALTH CARE, INC. - Ingeborg Nesbitt
Type
HRSA-Funded Health Center
340B ID
CH025320
Entity Address
516 Strand St
Frederiksted, VI 00840-3533
Grant Number
H80CS00372
Participating Start Date
4/1/2001
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
7/14/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/9/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Masserae Sprauve Webster, Chief Executive Officer
(340) 772-1992 Ext: 2132
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2014
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