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WALGREEN CO.
CH044710 FRANKLIN PRIMARY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
FRANKLIN MEDICAL MALL
Type
HRSA-Funded Health Center
340B ID
CH044710
Entity Address
1303 DR. MARTIN LUTHER KING
MOBILE, AL 36603-5398
Grant Number
H80CS00099
Participating Start Date
1/1/1994
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17323
402 N CRAFT HWY
CHICKASAW, AL 36611-1312
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles White, Chief Executive Officer
(251) 434-8188
Contract Pharmacy Representative
Franklin Primary Health Center
Charles White, Chief Executive Officer
(251) 434-8188
Signed By Date
4/15/2019
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