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WALGREEN CO.
CH046680 RURAL HEALTH GROUP, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH GROUP, INC.
Subdivision Name
Rural Health Group at Jackson
Type
HRSA-Funded Health Center
340B ID
CH046680
Entity Address
9425 NC HIGHWAY 305
JACKSON, NC 27845-9679
Grant Number
H80CS00866
Participating Start Date
10/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #18400
1123 E RALEIGH BLVD
ROCKY MOUNT, NC 27801
Pharmacy Comments
Contract Details
Approval Date
4/5/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/10/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Yvonne Long-Gee, CEO
(252) 536-5820
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/5/2019
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