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WALGREEN CO.
CH040670 BIG SANDY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
BIG SANDY HEALTH CARE, INC.
Subdivision Name
BIG SANDY HEALTH CARE, INC.
Type
HRSA-Funded Health Center
340B ID
CH040670
Entity Address
1709 Ky Route 321
Prestonsburg, KY 41653
Grant Number
H80CS00619
Participating Start Date
12/1/1992
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17178
9145 BEAUTY ROAD
PO BOX 377
WARFIELD, KY 41267
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ancil Lewis, Chief Executive Officer
(606) 886-8546 Ext: 1100
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/11/2019
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