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WALGREEN CO.
CH071700 FAMILY CARE HEALTH CENTERS
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Covered Entity Details
Entity Name
FAMILY CARE HEALTH CENTERS
Subdivision Name
CARONDELET
Type
HRSA-Funded Health Center
340B ID
CH071700
Entity Address
401 HOLLY HILLS AVE
ST LOUIS, MO 63111-2410
Grant Number
H80CS00492
Participating Start Date
10/1/2002
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03906
7339 GRAVOIS AVE
ST LOUIS, MO 63116
Pharmacy Comments
Contract Details
Approval Date
6/1/2012
Contract Begin Date
6/1/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert K. Massie, CEO
(314) 481-1615 Ext: 1315
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/14/2012
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