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WALGREEN CO.
CH042450 WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Maude L. Whatley Health Center
Type
HRSA-Funded Health Center
340B ID
CH042450
Entity Address
2731 MARTIN L KING JR. BLVD.
TUSCALOOSA, AL 35401
Grant Number
H80CS00094
Participating Start Date
1/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17955
3206 15TH ST
TUSCALOOSA, AL 35401-4002
Pharmacy Comments
Contract Details
Approval Date
7/1/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/29/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
David Gay, CEO
(205) 614-6135
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
7/1/2019
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