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WALGREEN CO.
CH041180 FAMILY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH041180
Entity Address
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Grant Number
H80CS00090
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07506
1290 CHESTNUT STREET
ORANGEBURG, SC 29115-3567
Pharmacy Comments
Contract Details
Approval Date
5/4/2012
Contract Begin Date
5/4/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leon A. Brunson Sr., CEO
(803) 531-6905
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/11/2012
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