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WALGREEN CO.
CHC28975-00 TRI-STATE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
TRI-STATE COMMUNITY HEALTH CENTER
Subdivision Name
Tri State Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28975-00
Entity Address
4041 KNIGHT ARNOLD RD
MEMPHIS, TN 38118-2128
Grant Number
H80CS28975
Participating Start Date
7/1/2016
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06882
3177 S PERKINS
MEMPHIS, TN 38118-4354
Pharmacy Comments
Contract Details
Approval Date
7/9/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Albert Richardson, Chief Executive Officer
(901) 360-0442
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/9/2019
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