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WALGREEN CO.
CHC26513-00 FIRSTMED HEALTH AND WELLNESS CENTER
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Covered Entity Details
Entity Name
FIRSTMED HEALTH AND WELLNESS CENTER
Subdivision Name
FirstMed Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26513-00
Entity Address
3343 South Eastern Ave
Las Vegas, NV 89169-3312
Grant Number
H80CS26513
Participating Start Date
4/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03873
6865 W TROPICANA AVE
LAS VEGAS, NV 89103
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
Angela Quinn, CEO
(702) 807-5501
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2019
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