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WALGREEN CO.
CH04691A STEDMAN - WADE HEALTH SERVICES, INC., THE
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Covered Entity Details
Entity Name
STEDMAN - WADE HEALTH SERVICES, INC., THE
Subdivision Name
STEDMAN FAMILY DENTAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH04691A
Entity Address
6540 Clinton Rd
Stedman, NC 28391-8846
Grant Number
H80CS00490
Participating Start Date
7/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19644
7860 RAEFORD RD
FAYETTEVILLE, NC 28304
Pharmacy Comments
Contract Details
Approval Date
4/4/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARGARET COVINGTON, CEO
(910) 483-6694 Ext: 7030
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2019
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