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WALGREEN CO.
CH049000 ROBESON HEALTH CARE CORP
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Covered Entity Details
Entity Name
ROBESON HEALTH CARE CORP
Subdivision Name
Robeson Health Care Corporation
Type
HRSA-Funded Health Center
340B ID
CH049000
Entity Address
60 Commerce Drive
Pembroke, NC 28372
Grant Number
H80CS00107
Participating Start Date
1/1/2003
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01056
3003 FAYETTEVILLE RD
LUMBERTON, NC 28358-2781
Pharmacy Comments
Contract Details
Approval Date
12/12/2011
Contract Begin Date
12/12/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jinnie Lowery, CEO
(910) 521-2900
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
12/12/2011
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