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WALGREEN CO.
CH06095B REGENCE HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
REGENCE HEALTH NETWORK, INC.
Subdivision Name
Regence Health Network, Inc. RDA - PLNV
Type
HRSA-Funded Health Center
340B ID
CH06095B
Entity Address
2801 W 8th St
Plainview, TX 79072-6737
Grant Number
H80CS00126
Participating Start Date
10/1/2001
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05613
5921 HILLSIDE RD
AMARILLO, TX 79109
Pharmacy Comments
Contract Details
Approval Date
1/11/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RICK C. LOVE, CEO
(806) 293-8561 Ext: 1228
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/11/2017
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