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WALGREEN CO.
CH045180 COMMUNITY HEALTH CARE SYSTEMS INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE SYSTEMS INC
Subdivision Name
COMMUNITY HEALTH CARE SYSTEMS, INC.
Type
HRSA-Funded Health Center
340B ID
CH045180
Entity Address
2251 W Elm St
Wrightsville, GA 31096-2017
Grant Number
H80CS00507
Participating Start Date
11/28/2005
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19293
620 CENTRAL DR
EAST DUBLIN, GA 31027
Pharmacy Comments
Contract Details
Approval Date
10/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/18/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Carla Belcher, CEO
(478) 552-7384 Ext: 1211
Contract Pharmacy Representative
Walgreens Co
Christina Hess, 340B Client Relationships
(847) 964-4000
Signed By Date
10/4/2019
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